naa a22 4500 510813631 CHVBK 20180411083454.0 cr unu---uuuuu 180411e20131201xx s 000 0 eng 10.1007/s12328-013-0434-6 doi (NATIONALLICENCE)springer-10.1007/s12328-013-0434-6 Unruptured cystic artery pseudoaneurysm accompanied by Mirizzi syndrome: a report of a case [Elektronische Daten] [Satoshi Suzuki, Yusuke Saito, Kazumasa Nakamura, Ryuji Sukegawa, Atsushi Chiba, Shunsuke Nakajima, Ryuji Sugiyama, Kenichiro Ozawa, Masaki Taruishi, Akio Takada] Pseudoaneurysm of the cystic artery is a rare complication of cholecystitis. 34 cases have been reported from 1976 to 2012, searched on MEDLINE and most of the cases have presented with gastrointestinal bleeding. We report the third case of an unruptured pseudoaneurysm of the cystic artery associated with calculous cholecystitis. An 85-year-old female presented to the emergency unit with epigastric pain and jaundice. Laboratory data and contrast-enhanced computed tomography (CT) revealed calculous cholecystitis and Mirizzi syndrome accompanied by a pseudoaneurysm in the gallbladder. Color Doppler ultrasonography (US) clearly demonstrated the pulsatile pseudoaneurysm. After biliary drainage and antimicrobial therapy, selective hepatic angiography with the aim of providing transcatheter arterial embolization was performed but the pseudoaneurysm had already thrombosed spontaneously. Open cholecystectomy was successfully carried out. Histological specimens demonstrated the pseudoaneurysm with organized thrombus in the epithelial wall of the gallbladder thickened with severe fibrosis. It is suggested that cholecystitis with unusual symptoms such as gastrointestinal bleeding requires immediate enhanced CT and US with Doppler imaging in order not to overlook a rare but life-threatening pseudoaneurysm. Springer Japan, 2013 Cystic artery pseudoaneurysm nationallicence Cholecystitis nationallicence Mirizzi syndrome nationallicence Color Doppler imaging nationallicence Suzuki Satoshi Asahikawa City Hospital, 1-65, Kinseicho 1-chome, Asahikawa, Hokkaido, Japan aut Saito Yusuke Asahikawa City Hospital, 1-65, Kinseicho 1-chome, Asahikawa, Hokkaido, Japan aut Nakamura Kazumasa Asahikawa City Hospital, 1-65, Kinseicho 1-chome, Asahikawa, Hokkaido, Japan aut Sukegawa Ryuji Asahikawa City Hospital, 1-65, Kinseicho 1-chome, Asahikawa, Hokkaido, Japan aut Chiba Atsushi Asahikawa City Hospital, 1-65, Kinseicho 1-chome, Asahikawa, Hokkaido, Japan aut Nakajima Shunsuke Asahikawa City Hospital, 1-65, Kinseicho 1-chome, Asahikawa, Hokkaido, Japan aut Sugiyama Ryuji Asahikawa City Hospital, 1-65, Kinseicho 1-chome, Asahikawa, Hokkaido, Japan aut Ozawa Kenichiro Asahikawa City Hospital, 1-65, Kinseicho 1-chome, Asahikawa, Hokkaido, Japan aut Taruishi Masaki Asahikawa City Hospital, 1-65, Kinseicho 1-chome, Asahikawa, Hokkaido, Japan aut Takada Akio Asahikawa City Hospital, 1-65, Kinseicho 1-chome, Asahikawa, Hokkaido, Japan aut Clinical Journal of Gastroenterology Springer Japan 6/6(2013-12-01), 490-495 1865-7257 6:6<490 2013 6 12328 https://doi.org/10.1007/s12328-013-0434-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12328-013-0434-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Suzuki Satoshi Asahikawa City Hospital, 1-65, Kinseicho 1-chome, Asahikawa, Hokkaido, Japan aut NATIONALLICENCE 700 1- Saito Yusuke Asahikawa City Hospital, 1-65, Kinseicho 1-chome, Asahikawa, Hokkaido, Japan aut NATIONALLICENCE 700 1- Nakamura Kazumasa Asahikawa City Hospital, 1-65, Kinseicho 1-chome, Asahikawa, Hokkaido, Japan aut NATIONALLICENCE 700 1- Sukegawa Ryuji Asahikawa City Hospital, 1-65, Kinseicho 1-chome, Asahikawa, Hokkaido, Japan aut NATIONALLICENCE 700 1- Chiba Atsushi Asahikawa City Hospital, 1-65, Kinseicho 1-chome, Asahikawa, Hokkaido, Japan aut NATIONALLICENCE 700 1- Nakajima Shunsuke Asahikawa City Hospital, 1-65, Kinseicho 1-chome, Asahikawa, Hokkaido, Japan aut NATIONALLICENCE 700 1- Sugiyama Ryuji Asahikawa City Hospital, 1-65, Kinseicho 1-chome, Asahikawa, Hokkaido, Japan aut NATIONALLICENCE 700 1- Ozawa Kenichiro Asahikawa City Hospital, 1-65, Kinseicho 1-chome, Asahikawa, Hokkaido, Japan aut NATIONALLICENCE 700 1- Taruishi Masaki Asahikawa City Hospital, 1-65, Kinseicho 1-chome, Asahikawa, Hokkaido, Japan aut NATIONALLICENCE 700 1- Takada Akio Asahikawa City Hospital, 1-65, Kinseicho 1-chome, Asahikawa, Hokkaido, Japan aut NATIONALLICENCE 773 0- Clinical Journal of Gastroenterology Springer Japan 6/6(2013-12-01), 490-495 1865-7257 6:6<490 2013 6 12328 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer