Hepatic or cystic artery pseudoaneurysms following a laparoscopic cholecystectomy: Literature review of aetiopathogenesis, presentation, diagnosis and management

Norman O. Machado*, Adil Al-Zadjali, Anupam K. Kakaria, Shahzad Younus, Mohamed A. Rahim, Rashid Al-Sukaiti

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

1 Citation (Scopus)

Abstract

Pseudoaneurysms (PSAs) of the hepatic and/or cystic artery are a rare complication following a laparoscopic cholecystectomy (LC). Generally, PSA cases present with haemobilia several weeks following the procedure. Transarterial embolisation (TAE) is considered the optimal management approach. We report a 70-year-old woman who presented to the Sultan Qaboos University Hospital, Muscat, Oman, in 2016 with massive hemoperitoneum two weeks after undergoing a LC procedure in another hospital. She was successfully managed using coil TAE. An extensive literature review revealed 101 cases of hepatic or cystic artery PSAs following a LC procedure. Haemobilia was the main presentation (85.1%) and the mean time of postoperative presentation was 36 days. The hepatic artery was involved in most cases (88.1%), followed by the cystic artery (7.9%) and a combination of both (4.0%). Most cases were managed with TAE (72.3%), with a 94.5% success rate. The overall mortality rate was 2.0%.

Original languageEnglish
Pages (from-to)e135-e146
JournalSultan Qaboos University Medical Journal
Volume17
Issue number2
DOIs
Publication statusPublished - May 1 2017

Keywords

  • Hemoperitoneum
  • Hepatic Artery
  • Laparoscopic Cholecystectomy
  • Pseudoaneurysm
  • Therapeutic Embolization

ASJC Scopus subject areas

  • Medicine(all)

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