Hepatic or Cystic Artery Pseudoaneurysms Following a Laparoscopic Cholecystectomy Literature review of aetiopathogenesis, presentation, diagnosis and management

Journal Title: Sultan Qaboos University Medical Journal - Year 2017, Vol 17, Issue 2

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. Te 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. Te overall mortality rate was 2.0%.

Authors and Affiliations

Norman O. Machado| Departments of Surgery, Sultan Qaboos University Hospital, Muscat, Oman, Adil Al-Zadjali| Departments of Surgery, Sultan Qaboos University Hospital, Muscat, Oman, Anupam K. Kakaria| Departments of Radiology & Molecular Imaging, Sultan Qaboos University Hospital, Muscat, Oman, Shahzad Younus| Departments of Surgery, Sultan Qaboos University Hospital, Muscat, Oman, Mohamed A. Rahim| Departments of Surgery, Sultan Qaboos University Hospital, Muscat, Oman, Rashid Al-Sukaiti| Departments of Radiology & Molecular Imaging, Sultan Qaboos University Hospital, Muscat, Oman

Keywords

Related Articles

Breastfeeding Trends and Determinants Implications and recommendations for Gulf Cooperation Council countries

Optimal breastfeeding practices entail the early initiation of breastfeeding soon after delivery of the baby, exclusive breastfeeding for the frst six months of life and the continuation of breastfeeding complemented b...

Discrepancies Between Planned and Actual Operating Room Turnaround Times at a Large Rural Hospital in Germany

Objectives: While several factors have been shown to influence operating room (OR) turnaround times, few comparisons of planned and actual OR turnaround times have been performed. Tis study aimed to compare planned an...

Download PDF file
  • EP ID EP14765
  • DOI 10.18295/squmj.2016.17.02.002
  • Views 331
  • Downloads 18

How To Cite

Norman O. Machado, Adil Al-Zadjali, Anupam K. Kakaria, Shahzad Younus, Mohamed A. Rahim, Rashid Al-Sukaiti (2017). Hepatic or Cystic Artery Pseudoaneurysms Following a Laparoscopic Cholecystectomy Literature review of aetiopathogenesis, presentation, diagnosis and management. Sultan Qaboos University Medical Journal, 17(2), 135-146. https://europub.co.uk/articles/-A-14765