| Cystic artery pseudo-aneurysm: a complication of xanthogranulomatous cholecystitis. | |
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MedLine Citation:
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PMID: 20675459 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 54-year-old man presented for radiology with pain and a feeling of fullness in the upper abdomen and an epigastric mass. Ultrasound revealed a large cystic mass with internal echoes, lying posterior and inferior to left lobe of the liver. The gallbladder was thick-walled and contracted, and contained a calculus and echogenic sludge. A cystic structure that produced swirling flow signals on colour Doppler was demonstrated within the gallbladder. The CT scan showed a thickened gallbladder with adjacent inflammation and a 2-cm pseudo-aneurysm in its wall. High-density material was present in the gallbladder lumen, in the extra-hepatic bile ducts and around the gastrohepatic ligament. A thick haemorrhagic pus, from which Escherichia coli was cultured, was drained from the gastrohepatic collection. An elective coeliac angiogram demonstrated a solitary pseudo-aneurysm of the medial branch of the cystic artery. Selective catheterisation of this artery with a micro-catheter enabled complete exclusion of the pseudo-aneurysm by a single micro-coil. Histological examination of the gallbladder, which was ultimately removed at open cholecystectomy, demonstrated xanthogranulomatous cholecystitis. |
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Authors:
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I Ahmed; U H Tanveer; Z Sajjad; B Munazza; U D Azeem; S Basit |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The British journal of radiology Volume: 83 ISSN: 1748-880X ISO Abbreviation: Br J Radiol Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-08-02 Completed Date: 2010-11-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0373125 Medline TA: Br J Radiol Country: England |
Other Details:
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Languages: eng Pagination: e165-7 Citation Subset: AIM; IM |
Affiliation:
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Department of Radiology, Aga Khan University Hospital, Stadium Road, P.O. Box 3500, Karachi 74800, Pakistan. ishtiaq.chisti@aku.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aneurysm, False
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etiology,
radiography* Cholecystitis / complications, pathology Granuloma / complications, pathology Hepatic Artery / radiography* Humans Male Middle Aged Tomography, X-Ray Computed Xanthomatosis / complications, pathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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