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Hemobilia in the setting of cystic artery pseudoaneurysm secondary to type I Mirizzi syndrome
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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Nature Singapore
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10356877/ https://www.ncbi.nlm.nih.gov/pubmed/37131114 http://dx.doi.org/10.1007/s12328-023-01806-w |
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author | Williams, Thomas Maher, Adrian Redmond, Kendal Yeung, Shinn Ko, Bong Suk |
author_facet | Williams, Thomas Maher, Adrian Redmond, Kendal Yeung, Shinn Ko, Bong Suk |
author_sort | Williams, Thomas |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-10356877 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer Nature Singapore |
record_format | MEDLINE/PubMed |
spelling | pubmed-103568772023-07-21 Hemobilia in the setting of cystic artery pseudoaneurysm secondary to type I Mirizzi syndrome Williams, Thomas Maher, Adrian Redmond, Kendal Yeung, Shinn Ko, Bong Suk Clin J Gastroenterol Case Report 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. Springer Nature Singapore 2023-05-02 2023 /pmc/articles/PMC10356877/ /pubmed/37131114 http://dx.doi.org/10.1007/s12328-023-01806-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Case Report Williams, Thomas Maher, Adrian Redmond, Kendal Yeung, Shinn Ko, Bong Suk Hemobilia in the setting of cystic artery pseudoaneurysm secondary to type I Mirizzi syndrome |
title | Hemobilia in the setting of cystic artery pseudoaneurysm secondary to type I Mirizzi syndrome |
title_full | Hemobilia in the setting of cystic artery pseudoaneurysm secondary to type I Mirizzi syndrome |
title_fullStr | Hemobilia in the setting of cystic artery pseudoaneurysm secondary to type I Mirizzi syndrome |
title_full_unstemmed | Hemobilia in the setting of cystic artery pseudoaneurysm secondary to type I Mirizzi syndrome |
title_short | Hemobilia in the setting of cystic artery pseudoaneurysm secondary to type I Mirizzi syndrome |
title_sort | hemobilia in the setting of cystic artery pseudoaneurysm secondary to type i mirizzi syndrome |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10356877/ https://www.ncbi.nlm.nih.gov/pubmed/37131114 http://dx.doi.org/10.1007/s12328-023-01806-w |
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