Journal of Clinical Case Reports

Multidisciplinary Management of Upper Gastrointestinal Bleeding Secondary to Cystic Artery Pseudoaneurysm

Abstract

Ryan Z Taylor*, Ryan K. Schmocker, Gregory Minwell and Laura M. Enomoto

Cystic Artery Pseudoaneurysms (CAPs) are rare but have been associated with a high risk of complications including hemorrhage. While most often associated with cholecystitis, the presentation is inconsistent and management remains controversial. Similarly, the diagnostic workup is variable and typically includes endoscopy, computed tomography and angiography. Traditionally, angioembolization followed by open cholecystectomy has been the most common treatment approach; however laparoscopic management and selective pseudoaneurysm embolization alone have also been reported. We present an interesting case of cholelithiasis and choledocholithiasis associated with an upper gastrointestinal bleed secondary to a CAP which was successfully managed with a staged multidisciplinary approach.