{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T04:06:51Z","timestamp":1776830811058,"version":"3.51.2"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2025,1,11]],"date-time":"2025-01-11T00:00:00Z","timestamp":1736553600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,1,11]],"date-time":"2025-01-11T00:00:00Z","timestamp":1736553600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Alma Mater Studiorum - Universit\u00e0 di Bologna"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Forensic Sci Med Pathol"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>A 36-year-old woman diagnosed with complicated cholecystolithiasis underwent elective laparoscopic cholecystectomy (LC), then converted to open cholecystectomy because of a massive intraoperative bleeding. Hemostasis was performed with clipping and suturing the source of bleeding. In post-operative period, the patient suffered from persistent anemia associated with hemoperitoneum diagnosed through abdominal CT scanning, in absence of any sign of active bleeding. She died 16 days after the surgical procedure. Autopsy revealed the presence of 2 clips adjacent to the suture used for ligating the cystic artery and the presence of 3 surgical metal clips on the right hepatic artery, that should not be present in a routine cholecystectomy. The review of CT scans performed during the hospital stay revealed contrast extravasation from the right hepatic artery, near the 3 clips, allowing the post-mortem diagnosis of pseudoaneurysm (PA). The diagnosis of PA of right hepatic artery is typically made in living patients, through imaging, and autoptic identification is rarely obtained. The innovation of this report is to present an iconographic correlation between in vivo imaging and autopsy data, allowing for the tracing of the PA\u2019s origin to the wall weakening caused by the placement of 3 clips on the right hepatic artery, and having significant medico-legal implications.<\/jats:p>","DOI":"10.1007\/s12024-024-00937-x","type":"journal-article","created":{"date-parts":[[2025,1,11]],"date-time":"2025-01-11T04:47:19Z","timestamp":1736570839000},"page":"1036-1039","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Correlation between in vivo imaging and post\u2011mortem autopsy findings for the medico-legal evaluation of a right hepatic artery pseudoaneurysm as a fatal complication of laparoscopic cholecystectomy"],"prefix":"10.1007","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3263-1758","authenticated-orcid":false,"given":"Guido","family":"Pelletti","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Sech","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicola","family":"Montanari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emilio","family":"Quaia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Domenico","family":"Garcea","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susi","family":"Pelotti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,1,11]]},"reference":[{"key":"937_CR1","doi-asserted-by":"crossref","unstructured":"Machado NO, Al-Zadjali A, Kakaria AK, Younus S, Rahim MA, Al-Sukaiti R. Hepatic or cystic artery Pseudoaneurysms following a laparoscopic cholecystectomy: literature review of aetiopathogenesis, presentation, diagnosis and management. Sultan Qaboos Univ Med J. 2017 May.","DOI":"10.18295\/squmj.2016.17.02.002"},{"key":"937_CR2","doi-asserted-by":"crossref","unstructured":"Nicholson T, Travis S, Ettles D, Dyet J, Sedman P, Wedgewood K, Royston C. Hepatic artery angiography and embolization for hemobilia following laparoscopic cholecystectomy. Cardiovasc Intervent Radiol. 1999 Jan.","DOI":"10.1007\/s002709900323"},{"key":"937_CR3","doi-asserted-by":"crossref","unstructured":"Saad NE, Saad WE, Davies MG, Waldman DL, Fultz PJ, Rubens DJ. Pseudoaneurysms and the role of minimally invasive techniques in their management. Radiographics. 2005.","DOI":"10.1148\/rg.25si055503"},{"key":"937_CR4","doi-asserted-by":"publisher","first-page":"S277","DOI":"10.14309\/00000434-201110002-00734","volume":"106","author":"C Belfonte","year":"2011","unstructured":"Belfonte C, Sanderson A, Dejenie F. Quincke\u2019s triad: a rare complication of a common outpatient procedure. Am J Gastroenterol. 2011;106:S277.","journal-title":"Am J Gastroenterol"},{"key":"937_CR5","doi-asserted-by":"crossref","unstructured":"Caminiti R, Rossitto M, Ciccolo A. (2011) Pseudoaneurysm of the hepatic artery and Hemobilia: a rare complication of laparoscopic cholecystectomy; clinical case and literature review. Acta Chir Belg, 111.","DOI":"10.1080\/00015458.2011.11680782"},{"key":"937_CR6","doi-asserted-by":"crossref","unstructured":"Lampropoulos C, Markopoulos G, Tsochatzis S, Bellou A, Amanatidis T, Kehagias D, Papadopoulos G, Kehagias I. Symptomatic pseudoaneurysms following laparoscopic cholecystectomy: focus on an unusual and dangerous complication. J Minim Access Surg. 2021 Oct-Dec;17(4):450\u20137.","DOI":"10.4103\/jmas.JMAS_164_20"},{"key":"937_CR7","doi-asserted-by":"publisher","first-page":"540","DOI":"10.1007\/s10016-005-5043-5","volume":"19","author":"MA Arneson","year":"2005","unstructured":"Arneson MA, Smith RS. Ruptured hepatic artery aneurysm: case report and review of literature. Ann Vasc Surg. 2005;19:540\u20135.","journal-title":"Ann Vasc Surg"},{"key":"937_CR8","doi-asserted-by":"crossref","unstructured":"Behera C, Naagar S, Krishna K, Taraporewalla DR, Garudadhri GV, Prasad K. Sudden death due to ruptured pseudoaneurysm of femoral artery in injected drug abusers - report of four cases at autopsy and review of literature. J Forensic Leg Med. 2014 Feb.","DOI":"10.1016\/j.jflm.2013.12.010"},{"issue":"2","key":"937_CR9","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1007\/s12024-022-00472-7","volume":"18","author":"S Nikoli\u0107","year":"2022","unstructured":"Nikoli\u0107 S, Je\u010dmenica D, \u017divkovi\u0107 V. Ruptured femoral artery pseudoaneurysm in drug abuser mimicking homicidal inguinal stab wound. Forensic Sci Med Pathol. 2022;18(2):209\u201313. https:\/\/doi.org\/10.1007\/s12024-022-00472-7.","journal-title":"Forensic Sci Med Pathol"},{"key":"937_CR10","doi-asserted-by":"crossref","unstructured":"Shelton J, Raviraj SA, Case Report. Hepatic artery pseudoaneurysm causing life-threatening haemobilia. Int J Surg Case Rep. 2021;86:106350.","DOI":"10.1016\/j.ijscr.2021.106350"},{"key":"937_CR11","doi-asserted-by":"publisher","DOI":"10.1007\/s12024-024-00841-4","author":"Y Zhang","year":"2024","unstructured":"Zhang Y, Xiong H, Cheng F, et al. A case of death after the severing three appendiceal arteries during appendectomy. Forensic Sci Med Pathol. 2024. https:\/\/doi.org\/10.1007\/s12024-024-00841-4.","journal-title":"Forensic Sci Med Pathol"},{"key":"937_CR12","doi-asserted-by":"publisher","unstructured":"Pelletti G, Fiorentini C, Pirani F, Fais P, Pelotti S. Fatal coronary perforation during percutaneous coronary intervention: the medico-legal interest in establishing the correlation between in vivo imaging and post-mortem histopathology. Forensic Sci Med Pathol. 2023 Dec;10. https:\/\/doi.org\/10.1007\/s12024-023-00758-4.","DOI":"10.1007\/s12024-023-00758-4"}],"container-title":["Forensic Science, Medicine and Pathology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12024-024-00937-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s12024-024-00937-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12024-024-00937-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,6]],"date-time":"2025-09-06T03:11:44Z","timestamp":1757128304000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s12024-024-00937-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,11]]},"references-count":12,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,6]]}},"alternative-id":["937"],"URL":"https:\/\/doi.org\/10.1007\/s12024-024-00937-x","relation":{},"ISSN":["1556-2891"],"issn-type":[{"value":"1556-2891","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,11]]},"assertion":[{"value":"29 December 2024","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 January 2025","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"N\/A.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"The current Italian legislation neither requires the\u00a0family\u2019s consent or ethical approval for a single case, as long as the\u00a0data are kept strictly anonymous. Because summoning the parents was\u00a0not possible as it would badly interfere with the grieving process, parents\u2019\u00a0consent was waived, according to the Italian Authority\u00a0of Privacy and Data Protection (\u201cGarante della Privacy\u201d: GDPR nr\u00a0679\/2016; 9\/2016 and recent law addition number 424\/ 19th of July\u00a02018;\u00a0. it).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"None.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}