Cystic Artery Pseudoaneurysm: A Rare but Serious Complication after Cholecystectomy Report of Three cases


Cholecystectomy is the most common major abdominal procedure (1). Pseudo-aneurysm of the cystic artery is a well documented rare but serious complication that might follow an open or laparoscopic cholecystectomy (LC). It may be seen in isolation or in association with bile duct injury (2). It represents a technical failure and can be avoided by adopting a standardized procedure.We present three cases of cystic artery pseudoaneurysm, one following an open and two following laparoscopic cholecystectomy. All of them presented with hemobilia but with different scenario. These patients required laparotomy to control their problem, two of them were emergencies and one was elective laparotomy.