Abstract
Pseudoaneurysms (PSAs) of the hepatic and/or cystic artery are a rare complication following a laparoscopic cholecystectomy (LC). Generally, PSA cases present with haemobilia several weeks following the procedure. Transarterial embolisation (TAE) is considered the optimal management approach. We report a 70-year-old woman who presented to the Sultan Qaboos University Hospital, Muscat, Oman, in 2016 with massive hemoperitoneum two weeks after undergoing a LC procedure in another hospital. She was successfully managed using coil TAE. An extensive literature review revealed 101 cases of hepatic or cystic artery PSAs following a LC procedure. Haemobilia was the main presentation (85.1%) and the mean time of postoperative presentation was 36 days. The hepatic artery was involved in most cases (88.1%), followed by the cystic artery (7.9%) and a combination of both (4.0%). Most cases were managed with TAE (72.3%), with a 94.5% success rate. The overall mortality rate was 2.0%.
Publication details
- DOI
- 10.18295/squmj.2016.17.02.002
- Journal
- Sultan Qaboos University Medical Journal, 17(2), 135-146
- Publisher
- Sultan Qaboos University
- Open access
- Gold open access
- License
- CC BY-ND 4.0
Cite this article
APA 7
Machado, N. O., Al-Zadjali, A., Younus, A. K., Shahzad, Rahim, M. A., & Al-Sukaiti, R. (2025). Hepatic or Cystic Artery Pseudoaneurysms Following a Laparoscopic Cholecystectomy: Literature review of aetiopathogenesis, presentation, diagnosis and management. Sultan Qaboos University Medical Journal, 17(2), 135-146. https://doi.org/10.18295/squmj.2016.17.02.002
MLA 9
Machado, Norman O., et al. "Hepatic or Cystic Artery Pseudoaneurysms Following a Laparoscopic Cholecystectomy: Literature review of aetiopathogenesis, presentation, diagnosis and management." Sultan Qaboos University Medical Journal, vol. 17, no. 2, 2025, pp. 135-146. https://doi.org/10.18295/squmj.2016.17.02.002.
Chicago (author–date)
Machado, Norman O., Adil Al-Zadjali, Anupam K. Younus, Shahzad, Mohamed A. Rahim, and Rashid Al-Sukaiti. 2025. "Hepatic or Cystic Artery Pseudoaneurysms Following a Laparoscopic Cholecystectomy: Literature review of aetiopathogenesis, presentation, diagnosis and management." Sultan Qaboos University Medical Journal 17 (2): 135-146. https://doi.org/10.18295/squmj.2016.17.02.002.
Harvard
Machado, N. O., Al-Zadjali, A., Younus, A. K., Shahzad, Rahim, M. A. and Al-Sukaiti, R. (2025) 'Hepatic or Cystic Artery Pseudoaneurysms Following a Laparoscopic Cholecystectomy: Literature review of aetiopathogenesis, presentation, diagnosis and management', Sultan Qaboos University Medical Journal, 17(2), pp. 135-146. doi:10.18295/squmj.2016.17.02.002.
Vancouver
Machado NO, Al-Zadjali A, Younus AK, Shahzad, Rahim MA, Al-Sukaiti R. Hepatic or Cystic Artery Pseudoaneurysms Following a Laparoscopic Cholecystectomy: Literature review of aetiopathogenesis, presentation, diagnosis and management. Sultan Qaboos University Medical Journal. 2025;17(2):135-146. doi:10.18295/squmj.2016.17.02.002
IEEE
N. O. Machado, A. Al-Zadjali, A. K. Younus, Shahzad, M. A. Rahim, and R. Al-Sukaiti, "Hepatic or Cystic Artery Pseudoaneurysms Following a Laparoscopic Cholecystectomy: Literature review of aetiopathogenesis, presentation, diagnosis and management," Sultan Qaboos University Medical Journal, vol. 17, no. 2, pp. 135-146, 2025, doi: 10.18295/squmj.2016.17.02.002.