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Inicio Cirugía Española (English Edition) Cystic artery pseudoaneurism secondary to acute cholecystitis
Información de la revista
Vol. 100. Núm. 3.
Páginas 171 (marzo 2022)
Vol. 100. Núm. 3.
Páginas 171 (marzo 2022)
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Cystic artery pseudoaneurism secondary to acute cholecystitis
Seudoaneurisma de arteria cística secundario a colecistitis aguda
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Rodrigo Tovar Pérez
Autor para correspondencia
rodrigo.tovar@salud.madrid.org

Corresponding author.
, Marcello Di Martino, Lara Blanco Terés, Elena Martín-Pérez
Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-IP), Universidad Autónoma de Madrid (UAM), Madrid, Spain
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A 77-year-old male patient with several pathologies (ASA IV, Charlson Comorbidity Index 7) and a history of recurrent acute cholecystitis managed conservatively on 4 occasions consulted for pain in the right hypochondrium and fever. Urgent lab work showed elevated acute phase reactants.

Abdominal ultrasound was compatible with acute gangrenous cholecystitis, revealing a gallbladder occupied by hypoechoic material. As we suspected a concomitant respiratory infection, a computed tomography scan was ordered, which demonstrated a hyperdense image in the gallbladder during the arterial phase and contrast washout in the late phase, suggestive of an endoluminal pseudoaneurysm of the cystic artery. We performed arteriography with super-selective catheterization of the branch of the cystic artery that supplied the pseudoaneurysm. Due to its size, embolization was performed with BioGlue®. Subsequently, we conducted laparoscopic cholecystectomy, with no intraoperative or postoperative incidences (Fig. 1).

Fig. 1
(0.59MB).
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No funding was received for this article.

Please cite this article as: Tovar Pérez R, Di Martino M, Blanco Terés L, Martín-Pérez E. Seudoaneurisma de arteria cística secundario a colecistitis aguda. Cir Esp. 2022;100:171.

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