CYSTIC ARTERY PSEUDOANEURYSM WITH CONCURRENT CHOLECYSTO-ENTERIC FISTULA: A RARE CASE REPORT

CORRESPONDING AUTHOR:
Dr. Ankur Aggarwal,
Room No. 204, P. G. Hostel,
IV-A, MGMCH, Jaipur.
E-mail: drankur88@yahoo.com

ABSTRACT: Cystic artery pseudo aneurysm with cholecysto-enteric fistula represents two rare complications of gallstone disease. We report a case of 68 year old female who presented to the emergency department with pain in the right upper quadrant since 15days with presence of slight tenderness in this region and history of hematemesis. Ultrasound and MDCT was done, findings showed diffuse irregular GB wall thickening with large calculus in its lumen with focal defects in walls and loculated fluid with membranes in the pericholecystic region around body and fundus. A well-defined small pseudo aneurysm was seen projecting into lumen of gall bladder in left lateral aspect likely arising from cystic artery. Small focal communications were also evident between GB lumen and duodenum. This patient was operated, Partial cholecystectomy was performed and Choledocho-duodenostomy was done.

KEYWORDS: Cystic artery pseudoaneurysm, cholecysto-enteric fistula, gallstone disease, subtotal/ partial cholecystectomy.