دورية أكاديمية

Hemobilia in the setting of cystic artery pseudoaneurysm secondary to type I Mirizzi syndrome.

التفاصيل البيبلوغرافية
العنوان: Hemobilia in the setting of cystic artery pseudoaneurysm secondary to type I Mirizzi syndrome.
المؤلفون: Williams T; Department of Gastroenterology and Hepatology, Princess Alexandra Hospital, 199 Ipswich Road, Woolloongabba, Brisbane, QLD, 4102, Australia. thomaswilliamsresearch@gmail.com.; Faculty of Medicine, University of Queensland, Brisbane, Australia. thomaswilliamsresearch@gmail.com., Maher A; Department of Gastroenterology and Hepatology, Princess Alexandra Hospital, 199 Ipswich Road, Woolloongabba, Brisbane, QLD, 4102, Australia.; Faculty of Medicine, University of Queensland, Brisbane, Australia., Redmond K; Department of Medical Imaging, Princess Alexandra Hospital, Brisbane, Australia., Yeung S; Department of Hepatobiliary Surgery, Princess Alexandra Hospital, Brisbane, Australia., Ko BS; Department of Gastroenterology and Hepatology, Princess Alexandra Hospital, 199 Ipswich Road, Woolloongabba, Brisbane, QLD, 4102, Australia.
المصدر: Clinical journal of gastroenterology [Clin J Gastroenterol] 2023 Aug; Vol. 16 (4), pp. 605-609. Date of Electronic Publication: 2023 May 02.
نوع المنشور: Case Reports; Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Japan Country of Publication: Japan NLM ID: 101477246 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1865-7265 (Electronic) Linking ISSN: 18657265 NLM ISO Abbreviation: Clin J Gastroenterol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [Tokyo] : Springer Japan
مواضيع طبية MeSH: Aneurysm, False*/complications , Aneurysm, False*/diagnostic imaging , Hemobilia*/complications , Mirizzi Syndrome*/complications , Mirizzi Syndrome*/diagnostic imaging , Mirizzi Syndrome*/surgery , Gallbladder Diseases*/complications, Male ; Humans ; Middle Aged ; Hepatic Artery/diagnostic imaging
مستخلص: Hemobilia is an uncommon diagnosis and is often not suspected in the absence of recent hepatobiliary intervention or trauma. Hemobilia in the setting of cystic artery pseudoaneurysm secondary to type I Mirizzi syndrome is a rare occurrence. We report the case of a 61-year-old male who presented with epigastric pain and vomiting. Blood tests demonstrated hyperbilirubinemia with elevated inflammatory markers. Magnetic resonance cholangiopancreatography revealed type I Mirizzi syndrome in the presence of a 21 mm cystic duct stone. During endoscopic retrograde cholangiopancreatography, hemobilia was identified. Subsequent triple phase computed tomography imaging identified a 12 mm cystic artery pseudoaneurysm. Angiography with successful coiling of the cystic artery was accomplished. Cholecystectomy was performed, confirming type I Mirizzi syndrome. This case demonstrates the importance of considering ruptured pseudoaneurysm in patients presenting with evidence of upper gastrointestinal bleeding in the setting of biliary stone disease. Transarterial embolization, followed by surgical management, is effective in both the diagnosis and management of ruptured cystic artery pseudoaneurysm with associated hemobilia.
(© 2023. The Author(s).)
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فهرسة مساهمة: Keywords: Aneurysm; Cholangiopancreatography; Endoscopic retrograde; False; Hemobilia; Mirizzi syndrome
تواريخ الأحداث: Date Created: 20230502 Date Completed: 20230721 Latest Revision: 20230722
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10356877
DOI: 10.1007/s12328-023-01806-w
PMID: 37131114
قاعدة البيانات: MEDLINE