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Ann Gastroenterol. 2011;24(2):134-136.

Idiopathic cystic artery aneurysm complicated with hemobilia.

Annals of gastroenterology

Utpal Anand, Sanjeev Kumar Thakur, Sanjay Kumar, Achyutanand Jha, Vijay Prakash

Affiliations

  1. Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna, PIN-800014, Bihar, India (Utpal Anand).
  2. Bihar Institute of Gastroenterology, Kankarbagh, Patna, PIN-800020, Bihar, India (Sanjeev Kumar Thakur, Vijay Prakash).
  3. Department of GI Surgery, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna, PIN-800014, Bihar, India (Sanjay Kumar).
  4. Department of Radiodiagnosis, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna, PIN-800014 Bihar, India (Achyutanand Jha).

PMID: 24714720 PMCID: PMC3959291

Abstract

Aneurysm of the cystic artery is not common, and it is a rare cause of hemobilia. Most of reported cases are pseudoaneurysms resulting from either an inflammatory process in the abdomen or abdominal trauma. We report a healthy individual who developed hemobilia associated with cystic artery aneurysm. The patient was managed with cholecystectomy and concomitant aneurysm repair. Visceral artery aneurysms are rare and can rupture with potentially grave outcome due to excessive bleeding. Angiographic embolization is a common method of treatment for visceral artery aneurysms. Open cholecystectomy and aneurysm repair was performed in our patient due to radiological evidence of associated cholecystitis.

Keywords: Aneurysm; cholecystectomy; embolization

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