Year 2015 / Volume 107 / Number 6
Digestive Diseases Image
Pseudoaneurysm of the cystic artery: An uncommon cause of upper gastrointestinal bleeding in a case of xanthogranulomatous cholecystitis

375-376

Carmen Muñoz-Villafranca, Íñigo García-Kamirruaga, Pilar Gómez-García, Víctor Atín-del-Campo, Victoria Bárcena-Robredo, Alexander Aguinaga-Alesanco and Ángel Calderón-García

Abstract
Pseudoaneurysm of the cystic artery is a very rare entity; only a few cases have been reported in the literature (1).
We present the case of a 74-year-old male admitted for pain in the right lower quadrant of the abdomen. The emergency abdominal CT scan showed abnormal structural findings in the gallbladder, with hypodense area, cholelithiasis, and involvement of the fat around the gallbladder. The findings suggesting xanthogranulomatous cholecystitis were confirmed by needle aspiration cytology. His course was unsatisfactory and, on day 14, he had an episode of pain in the upper gastrointestinal tract and melaena. The suspicion of haemobilia was confirmed by endoscopy. In the lower part of the ampulla of the duodenum, we identified a leaky hole into a cylindrical cavity and observed branching compatible with the biliary tree (Fig. 2).
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Carmen Muñoz-Villafranca, Íñigo García-Kamirruaga, Pilar Gómez-García, Víctor Atín-del-Campo, Victoria Bárcena-Robredo, Alexander Aguinaga-Alesanco and Ángel Calderón-García. Pseudoaneurysm of the cystic artery: An uncommon cause of upper gastrointestinal bleeding in a case of xanthogranulomatous cholecystitis. 375-376


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