Cystic Artery Pseudoaneurysm Management in Gastrointestinal Complications
Summary
Cystic artery pseudoaneurysm represents a rare but potentially life-threatening vascular lesion arising most often in the context of acute or chronic inflammation of the gallbladder or following hepatobiliary interventions. Characterised by a breach in the arterial wall with extraluminal containment, these lesions may present with haemobilia, intra-abdominal haemorrhage or gastrointestinal bleeding through fistulous communication. Optimal management depends upon prompt diagnosis, typically via computed tomography or digital subtraction angiography, followed by tailored intervention combining endovascular embolisation and, when indicated, surgical cholecystectomy. Recent advances have refined both imaging protocols and embolisation techniques, reducing morbidity and enhancing recovery in emergency and elective settings.
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Cystic Artery Pseudoaneurysm Management in Gastrointestinal Complications publication trend
The graph below shows the total number of articles in cystic artery pseudoaneurysm management in gastrointestinal complications across all publications each year (not limited to Nature Index journals).
Technical terms
Pseudoaneurysm: A contained arterial wall injury forming a blood-filled sac outside the normal vessel lumen.
Haemobilia: Bleeding into the biliary tree, often manifesting as upper gastrointestinal haemorrhage.
Embolisation: Endovascular placement of coils or particles to occlude a bleeding vessel.
Cholecystectomy: Surgical removal of the gallbladder.
Fistula: An abnormal channel linking two epithelial surfaces, such as gallbladder to intestine.
References
- Cystic Artery Pseudoaneurysm: Current Review of Aetiology, Presentation, and Management. Surgery Research and Practice (2021).
- Pseudoaneurysm of cystic artery stump after laparoscopic cholecystectomy managed successfully with branch hepatic artery embolization using jail technique. Journal of Surgical Case Reports (2024).
- Successful management of a ruptured cystic artery pseudoaneurysm with embolization and cholecystectomy: A case report. Clinical Case Reports (2024).
- Laparoscopic treatment of an unruptured cystic artery pseudo-aneurysm in the presence of calculous emphysematous cholecystitis. Journal of Surgical Case Reports (2022).
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