Cystic artery pseudoaneurysm: an uncommon complication of  a common disease

Sriram Jaganathan; Medhini Rangarajan; Velaga Jyothirmayi

doi:10.18203/2349-2902.isj20222652

Authors

Sriram Jaganathan Department of Radiology, Global Hospitals and Health City, Chennai, Tamil Nadu, India
Medhini Rangarajan Department of Surgery, SRM Medical College, Kattangulathur, Tamil Nadu, India
Velaga Jyothirmayi Department of Radiology, Global Hospitals and Health City, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2349-2902.isj20222652

Keywords:

Cystic artery pseudoaneurysm, Melena, Hemobilia

Abstract

Cystic artery pseudoaneurysm, though rare, is a notable cause of upper GI bleed. Here, we report an unusual presentation of upper gastrointestinal haemorrhage due to a cystic artery pseudoaneurysm secondary to acute cholecystitis in a 54-year-old male. Initial imaging revealed cholelithiasis with evidence of acute cholecystitis. Further investigations with Doppler ultrasound and CT suggested evidence of a cystic artery pseudoaneurysm with hyperdense contents in the gall bladder suggesting blood products. Taking into consideration the risk of hemorrhage during the procedure, the patient was taken up for open cholecystectomy. This case emphasizes the need for a high level of awareness of pseudo-aneurysmal disease and inclusion of cystic artery pseudoaneurysm as one of the differential diagnosis for a patient presenting with recurrent upper quadrant pain, jaundice and melena or hemobilia.

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