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Open Medicine

formerly Central European Journal of Medicine

Editor-in-Chief: Darzynkiewicz, Zbigniew

IMPACT FACTOR 2018: 1.221

CiteScore 2018: 1.01

SCImago Journal Rank (SJR) 2018: 0.329
Source Normalized Impact per Paper (SNIP) 2018: 0.479

ICV 2017: 152.94

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Volume 8, Issue 5


Volume 10 (2015)

Massive upper gastrointestinal bleeding due to right hepatic artery pseudoaneurysm secondary to cholecystitis

K. Habib / G. Williams
Published Online: 2013-09-18 | DOI: https://doi.org/10.2478/s11536-013-0204-3


A literature trawl reveals a substantial number of reports on true visceral aneurysms, including the hepatic artery, but only a handful of cases of visceral pseudoaneurysms. The ones in relation to the biliary tree are associated with previous gall bladder surgery and can result in significant gastrointestinal bleeding. There are more than 10 reported cases of cystic artery pseudoaneurysms but a thorough search revealed only two cases in English (1,2) and perhaps one in Japanese literature of right hepatic artery pseudoaneurysm secondary to cholecystitis presenting as massive upper gastrointestinal bleed. We present a probable fourth case in a 52 year old woman with classical clinical/biochemical picture, typical radiological appearance and who underwent successful interventional radiological treatment of this condition.

Keywords: Pseudo aneurysm; Hepatic artery; Haemobilia; Cholecystitis

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  • [2] Yen-Huai Lin, Rheun-Chuan Lee, Cheng-Yuan Hsia, Hung-Chieh Chen, Jen-Huey Chiang, Hsiuo-Shan Tseng, Cheng-Yen Chang. Right Hepatic Artery Pseudoaneurysm Ruptured Into the Gallbladder Demonstrated by Magnetic Resonance. Angiography Journal of the Chinese Medical Association. 2010;73: 331–333 http://dx.doi.org/10.1016/S1726-4901(10)70071-XCrossrefWeb of ScienceGoogle Scholar

  • [3] Sandlom P. Haemorrhage into the biliary tract following trauma; traumatic haemobilia. Surgery. 1948;24:571–586 Google Scholar

  • [4] Quincke H: Ein fall von Aneurysma der Leberarterie. Klin Wochenschr 1871;8:349–351 Google Scholar

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About the article

Published Online: 2013-09-18

Published in Print: 2013-10-01

Citation Information: Open Medicine, Volume 8, Issue 5, Pages 665–668, ISSN (Online) 2391-5463, DOI: https://doi.org/10.2478/s11536-013-0204-3.

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© 2013 Versita Warsaw. This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License. BY-NC-ND 3.0

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