Document Detail

Spontaneous cystic artery rupture: a rare cause of haemoperitoneum.
MedLine Citation:
PMID:  19341209     Owner:  NLM     Status:  MEDLINE    
We report the case of a 74-year-old man who presented an acute haemoperitoneum further to the rupture of the cystic artery. The bleeding was successfully controlled using embolization. This procedure was complicated by ischaemic necrosis and perforation of the gall-bladder requiring laparoscopic cholecystectomy. Spontaneous rupture of intra-abdominal arteries is a rare event. This usually occurs in abnormal arteries, presenting pseudo-aneurysm or, weakened by arterial hypertension, diabetes or corticotherapy. In the case of a cystic artery rupture, embolization can be safely done as long as the arterial anastomotic network with hepatic parenchyma is sufficient to supply the gall-bladder.
A Ouazzani; D Bataille; A Boutkhil; E Guérin; J Chr Lefebvre; P Vaneukem
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta chirurgica Belgica     Volume:  109     ISSN:  0001-5458     ISO Abbreviation:  Acta Chir. Belg.     Publication Date:    2009 Jan-Feb
Date Detail:
Created Date:  2009-04-03     Completed Date:  2009-05-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370571     Medline TA:  Acta Chir Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  106-8     Citation Subset:  IM    
Department of Digestive Surgery, Charleroi University Hospital, Charleroi, Belgium.
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MeSH Terms
Cystic Duct / blood supply*
Embolization, Therapeutic
Gallbladder / blood supply,  pathology
Hemoperitoneum / etiology*
Hepatic Artery* / radiography
Ischemia / pathology
Peritonitis / etiology
Rupture, Spontaneous

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