{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:11:55Z","timestamp":1782601915487,"version":"3.54.5"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2013,11,12]],"date-time":"2013-11-12T00:00:00Z","timestamp":1384214400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/3.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION:<\/jats:title>\n                    <jats:p>Cystic artery pseudoaneurysms and cholecystoenteric fistulae represent two rare complications of gallstone disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PRESENTATION OF CASE:<\/jats:title>\n                    <jats:p>An 86 year old male presented to the emergency department with obstructive jaundice, RUQ pain and subsequent upper gastrointestinal bleeding. Upper GI endoscopy revealed bleeding from the medial wall of the second part of the duodenum and a contrast-enhanced computed tomography scan revealed a cystic artery pseudoaneurysm, concurrent cholecystojejunal fistula and gallstone ileus. This patient was successfully managed surgically with open subtotal cholecystectomy, pseudoaneurysm resection and fistula repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION:<\/jats:title>\n                    <jats:p>To date there are very few cases describing haemobilia resulting from a bleeding cystic artery pseudoaneurysm. This report is the first to describe upper gastrointestinal bleeding as a consequence of two synchronous rare pathologies: a ruptured cystic artery pseudoaneurysm causing haemobilia and bleeding through a concurrent cholecystojejunal fistula.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Through this case, we stress the importance of accurate and early diagnosis through ultra- sonography, endoscopy, and contrast-enhanced CT imaging and emphasise that haemobilia should be included in the differential diagnosis of anyone presenting with upper gastrointestinal bleeding. We have demonstrated the success of surgical management alone in the treatment of such a case, but accept that consideration of combined therapeutic approach with angiography be given in the first instance, when available and clinically indicated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2013.11.005","type":"journal-article","created":{"date-parts":[[2013,11,21]],"date-time":"2013-11-21T08:34:48Z","timestamp":1385022888000},"page":"1-4","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":16,"title":["A rare cause of upper gastrointestinal haemorrhage"],"prefix":"10.1097","volume":"5","author":[{"given":"Michael A.","family":"Glaysher","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Cruttenden-Wood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karoly","family":"Szentpali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-1-20260114","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1055\/s-0029-1225670","article-title":"Visceral artery aneurysms: diagnosis and percutaneous management","volume":"26","author":"Chadha","year":"2009","journal-title":"Semin Intervent Radiol"},{"key":"R2-1-20260114","first-page":"178","article-title":"Report of a case: pseudoaneurysm of the cystic artery with hemobilia treated by arterial embolization","volume":"2","author":"Komatsu","year":"2011","journal-title":"J Med Cases"},{"key":"R3-1-20260114","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1186\/1471-230X-7-12","article-title":"Acute cholecystitis with massive upper gastrointestinal bleed: a case report and review of the literature","volume":"7","author":"Saluja","year":"2007","journal-title":"BMC Gastroenterol"},{"key":"R4-1-20260114","first-page":"156","article-title":"Mycotic cystic artery pseudoaneurysm successfully treated with transcatheter arterial embolization","volume":"16","author":"Leung","year":"2012","journal-title":"Hong Kong Med J"},{"key":"R5-1-20260114","first-page":"153","article-title":"Case of the month #176: pseudoaneurysm of the cystic artery","volume":"63","author":"Chong","year":"2012","journal-title":"Can Med Assoc J"},{"key":"R6-1-20260114","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1080\/13651820600869628","article-title":"Pseudoaneurysm of cystic artery after laparoscopic cholecystectomy","volume":"8","author":"De Molla Neto","year":"2006","journal-title":"HPB"},{"key":"R7-1-20260114","first-page":"136","article-title":"Acute cholecystitis with pseudoaneurysm of the cystic artery","volume":"95","author":"Dewachter","year":"2012","journal-title":"JBR-BTR"},{"key":"R8-1-20260114","first-page":"164","article-title":"Cystic Artery pseudoaneurysm: a rare but serious complication after cholecystectomy. Report of three cases","volume":"6","author":"Majid","year":"2007","journal-title":"Postgrad Med J"},{"key":"R9-1-20260114","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1016\/S1051-0443(99)70116-8","article-title":"Successful treatment of a pseudoaneurysm of the cystic artery with microcoil embolization","volume":"10","author":"Delgadillo","year":"1999","journal-title":"J Vasc Interv Radiol"},{"key":"R10-1-20260114","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1016\/j.gcb.2008.10.010","article-title":"Haemobilia due to pseudoaneurysm of the cystic artery","volume":"33","author":"Sousa","year":"2009","journal-title":"Gastroenterol Clin Biol"},{"key":"R11-1-20260114","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1007\/s00595-006-3423-2","article-title":"Pseudoaneurysm of the cystic artery secondary to cholecystitis as a cause of haemobilia: report of a case","volume":"37","author":"Akatsu","year":"2007","journal-title":"Surg Today"},{"key":"R12-1-20260114","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1089\/lap.2006.16.467","article-title":"Laparoscopic Management of Cholecystoenteric fistulas","volume":"16","author":"Chowbey","year":"2006","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"R13-1-20260114","doi-asserted-by":"crossref","first-page":"772","DOI":"10.3748\/wjg.v12.i5.772","article-title":"Successful laparoscopic management for cholecystoenteric fistula","volume":"12","author":"Wang","year":"2006","journal-title":"World J Gastroenterol"},{"key":"R14-1-20260114","doi-asserted-by":"crossref","first-page":"1038","DOI":"10.1007\/s004640000317","article-title":"Cholecystoenteric fistula (CF) is not a contraindication for laparoscopic surgery","volume":"15","author":"Angrisani","year":"2001","journal-title":"Surg Endosc"},{"key":"R15-1-20260114","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1016\/j.crad.2006.02.007","article-title":"CT of acute lower GI bleeding in chronic cholecystitis: concomitant pseudoaneurysm of cystic artery and cholecystocolonic fistula","volume":"61","author":"Lee","year":"2006","journal-title":"Clin Radiol"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261213003325?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261213003325?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201405010-00001","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:37:43Z","timestamp":1768397863000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201405010-00001"}},"subtitle":["Ruptured cystic artery pseudoaneurysm with concurrent cholecystojejunal fistula"],"short-title":[],"issued":{"date-parts":[[2014,1]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2014]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2013.11.005","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2014,1]]}}}