Journal List > J Korean Soc Radiol > v.64(4) > 1086922

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Lee, Kim, and Lee: Transcatheter Arterial Embolization of Cystic Artery Pseudoaneurysm in Acalculous Cholecystitis: A Case Report
Interventional Radiology
Case Report

Journal of the Korean Society of Radiology 2011; 64(4): 329-332.

Published online: 30 April 2011

DOI: https://doi.org/10.3348/jksr.2011.64.4.329

Transcatheter Arterial Embolization of Cystic Artery Pseudoaneurysm in Acalculous Cholecystitis: A Case Report

Hyung Ook Lee, M.D., Young Hwan Kim, M.D.2, Young Hwan Lee, M.D.

1Department of Radiology, Daegu Catholic University College of Medicine, Korea.

2Department of Radiology, Dongsan Medical Center, Keimyung University College of Medicine, Korea.

Address reprint requests to: Young Hwan Kim, M.D., Department of Diagnostic Radiology, Dongsan Medical Center, Keimyung University College of Medicine, 194 Dongsan-dong, Jung-gu, Daegu 700-712, Korea. Tel. 82-53-250-7770, Fax. 82-53-250-7766, yhkim68@dsmc.or.kr

Received 6 December 2010       Accepted 18 January 2011

Copyright © 2011 The Korean Society of Radiology

Abstract

A pseudoaneurysm of the cystic artery is a rare complication of cholecystitis, and is manifested by hemobilia or hematemesis. An early diagnosis is required for the successful treatment by cholecystectomy and ligation of the cystic artery. Herein, we report a case of a pseudoaneurysm of the cystic artery diagnosed by color Doppler ultrasonography and CT, and successfully treated by transcatheter arterial embolization with N-butyl cyanoacrylate in a high-risk surgical patient.

Keywords: Cystic artery, Aneurysm, False, Embolization, Therapeutics

Figures and Tables

Fig. 1

A 79-year-old male with epigastric pain.

A. Color Doppler ultrasonography shows anechoic nodule with flow signal (arrow) in the gallbladder.
B. Contrast enhanced CT scan reveals a small enhancing lesion in the gallbladder (arrow) and cholecystocolonic fistula (arrowhead).
C. Cystic artery angiography shows a pseudoaneurysm.
D. Completion angiography after glue embolization demonstrates complete exclusion of pseudoaneurysm with patent right hepatic artery.
jksr-64-329-g001

References

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