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Inicio Cirugía Española (English Edition) Cystic artery pseudoaneurism secondary to acute cholecystitis
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Vol. 100. Issue 3.
Pages 171 (March 2022)
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Cystic artery pseudoaneurism secondary to acute cholecystitis
Seudoaneurisma de arteria cística secundario a colecistitis aguda
Rodrigo Tovar Pérez
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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

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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