Document Detail


Unruptured pseudoaneurysm of the cystic artery with acute calculous cholecystitis incidentally detected by computed tomography.
MedLine Citation:
PMID:  18677616     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pseudoaneurysm of the cystic artery is rare; to our knowledge, fewer than 30 cases have been reported worldwide. We report the first case of an unruptured pseudoaneurysm of the cystic artery with concurrent acute calculous cholecystitis. We incidentally detected the aneurysm by contrast-enhanced computed tomography (CT) in the edematous, thickened wall of the gallbladder neck in a 71-year-old man, whereas in most of the reported cases the disease presented as hemobilia. Because of the high risk of aneurysm rupture in this location, we avoided such interventions as percutaneous cholecystostomy and laparoscopic cholecystectomy. The aneurysm was localized pathologically in the undisrupted gallbladder wall, and elective open cholecystectomy with ligation of the cystic artery was performed successfully. Our case highlights the usefulness of CT for both diagnosis and patient management. Open cholecystectomy with ligation of the cystic artery is demonstrated as a reasonable first line of treatment for this unusual condition.
Authors:
Haruhiko Machida; Eiko Ueno; Shunichi Shiozawa; Mikihiko Fujimura; Akira Tsuchiya; Dal Ho Kim; Kenji Ogawa; Motohiko Aiba
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-08-03
Journal Detail:
Title:  Radiation medicine     Volume:  26     ISSN:  0288-2043     ISO Abbreviation:  Radiat Med     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-08-04     Completed Date:  2008-12-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8412264     Medline TA:  Radiat Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  384-7     Citation Subset:  IM    
Affiliation:
Department of Radiology, Tokyo Women's Medical University, Medical Center East, 2-1-10 Nishiogu, Arakawa-ku, Tokyo 116-8567, Japan. machira@dnh.twmu.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm, False / radiography*
Aneurysm, Ruptured / prevention & control
Arteries / surgery
Cholecystectomy
Cholecystitis / complications*
Humans
Incidental Findings
Male
Tomography, X-Ray Computed*
Urinary Bladder / blood supply*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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