J Korean Surg Soc.  2007 Sep;73(3):272-275.

Hepatic Artery Pseudoaneurysm after Laparoscopic Cholecystectomy

Affiliations
  • 1Department of Surgery, Chungbuk National University College of Medicine and Medical Research Institute, Cheongju, Korea. jwchoi@chungbuk.ac.kr
  • 2Department of Radiology, Chungbuk National University College of Medicine and Medical Research Institute, Cheongju, Korea.
  • 3Department of Internal Medicine, Chungbuk National University College of Medicine and Medical Research Institute, Cheongju, Korea.

Abstract

A laparoscopic cholecystectomy is the gold standard for symptomatic gallbladder stones. Reports of a pseudoaneurysm following a cholecystectomy have recently increased. Herein, the case of a 36-year-old man, who had an unusual complication following a routine laparoscopic cholecystectomy for gallbladder stones, is reported. On postoperative day 6, the patient was readmitted via the emergency room with severe abdominal pain and right shoulder pain. A selective hepatic angiography revealed a pseudoaneurysm of the branch of the right hepatic artery, which was treated with transarterial embolization. A pseudoaneurysm is an uncommon complication of a laparoscopic cholecystectomy. If any suspicion of a pseudoaneurysm is presented, prompt attention and angiography are necessary, as the condition can cause life-threatening bleeding.

Keyword

Laparoscopic cholecystectomy; Pseudoaneurysm

MeSH Terms

Abdominal Pain
Adult
Aneurysm, False*
Angiography
Cholecystectomy
Cholecystectomy, Laparoscopic*
Emergency Service, Hospital
Gallbladder
Hemorrhage
Hepatic Artery*
Humans
Shoulder Pain
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