Hepatic or cystic artery pseudoaneurysms following a laparoscopic cholecystectomy

Literature review of aetiopathogenesis, presentation, diagnosis and management

Research output: Contribution to journalReview article

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

Fingerprint

Laparoscopic Cholecystectomy
False Aneurysm
Hemobilia
Arteries
Liver
Oman
Hemoperitoneum
Hepatic Artery
Mortality

Keywords

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

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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title = "Hepatic or cystic artery pseudoaneurysms following a laparoscopic cholecystectomy: Literature review of aetiopathogenesis, presentation, diagnosis and management",
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{\%}.",
keywords = "Hemoperitoneum, Hepatic Artery, Laparoscopic Cholecystectomy, Pseudoaneurysm, Therapeutic Embolization",
author = "Machado, {Norman O.} and Adil Al-Zadjali and Kakaria, {Anupam K.} and Shahzad Younus and Rahim, {Mohamed A.} and Rashid Al-Sukaiti",
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AU - Machado, Norman O.

AU - Al-Zadjali, Adil

AU - Kakaria, Anupam K.

AU - Younus, Shahzad

AU - Rahim, Mohamed A.

AU - Al-Sukaiti, Rashid

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N2 - 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%.

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