CYSTIC ARTERY PSEUDOANEURYSM WITH CONCURRENT CHOLECYSTOENTERIC FISTULA: A RARE CASE REPORT
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 2
Abstract
Cystic artery pseudo aneurysm with cholecysto-enteric fistula represents two rare complications of gallstone disease. We report a case of 68 year old female who presented to the emergency department with pain in the right upper quadrant since 15days with presence of slight tenderness in this region and history of hematemesis. Ultrasound and MDCT was done, findings showed diffuse irregular GB wall thickening with large calculus in its lumen with focal defects in walls and loculated fluid with membranes in the pericholecystic region around body and fundus. A welldefined small pseudo aneurysm was seen projecting into lumen of gall bladder in left lateral aspect likely arising from cystic artery. Small focal communications were also evident between GB lumen and duodenum. This patient was operated, Partial cholecystectomy was performed and Choledochoduodenostomy was done.
Authors and Affiliations
Ankur Aggarwal, Sunny Goyal, Jai Choudhary, Hemant Mishra, Baberwal M. C.
Keywords
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- EP ID EP106363
- DOI 10.14260/jemds/2015/42
- Views 87
- Downloads 0
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