{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T23:27:37Z","timestamp":1768433257702,"version":"3.49.0"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,11,9]],"date-time":"2020-11-09T00:00:00Z","timestamp":1604880000000},"content-version":"vor","delay-in-days":313,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Haemobilia caused by pseudoaneurysms of the right hepatic or cystic artery is rare. Haemobilia classically causes gastro-intestinal hemorrhage, jaundice and upper abdominal pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case<\/jats:title>\n                    <jats:p>A 76-year old female underwent laparoscopic cholecystectomy because of a severe acute on chronic cholecystitis. A massive arterial bleeding occurred during surgery, which was controlled with hemoclips. Approximately one week after surgery the patient developed severe colic pains and cholestatic liver enzyme alterations. Endo-ultrasound showed normal-width bile ducts, however during a subsequent ERCP haemobilia was observed. On computed tomography a pseudoaneurysm of the right hepatic artery was seen. Selective embolization was initially successful, however, a rebleed was observed two weeks later and a 6 \u00d7 50 mm Viabahn stent graft was placed in the right hepatic artery uneventfully. The patient remained free of complaints during 3-years of follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Pseudoaneurysms of the cystic or hepatic arteries are described to be cholecystectomy or cholecystitis related. The etiology of the pseudoaneurysm in this case can be inflammatory or iatrogenic. Embolization is the golden standard in pseudoaneurysm treatment. Stent graft implantation has not been frequently described as an alternative option to surgery after a failed attempt of embolization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case report presents a probable cholecystitis related pseudoaneurysm of the right hepatic artery, which caused haemobilia after cholecystectomy. The pseudoaneurysm was successfully eliminated with a stent graft after embolization had failed. Stent grafts should be considered a minimal invasive and effective alternative after failed embolization of a pseudoaneurysm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2020.11.033","type":"journal-article","created":{"date-parts":[[2020,11,11]],"date-time":"2020-11-11T17:38:04Z","timestamp":1605116284000},"page":"407-411","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["A pseudoaneurysm of the right hepatic artery treated successfully with a stent graft \u2013 A case report"],"prefix":"10.1097","volume":"77","author":[{"given":"Amber C.","family":"Traa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miriam L.","family":"Hoven-Gondrie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arjen L.","family":"Diederik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-91-20260114","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1007\/s002709900323","article-title":"Hepatic artery angiography and embolization for hemobilia following laparoscopic cholecystectomy","volume":"22","author":"Nicholson","year":"1999","journal-title":"Cardiovasc. Intervent. Radiol"},{"key":"R2-91-20260114","doi-asserted-by":"crossref","first-page":"e135","DOI":"10.18295\/squmj.2016.17.02.002","article-title":"Hepatic or cystic artery pseudoaneurysms following a laparoscopic cholecystectomy: literature review of aetiopathogenesis, presentation, diagnosis and management","volume":"17","author":"Machado","year":"2017","journal-title":"Sultan Qaboos Univ. Med. J"},{"key":"R3-91-20260114","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1016\/j.livres.2018.09.007","article-title":"Hemobilia: etiology, diagnosis, and treatment","volume":"2","author":"Berry","year":"2018","journal-title":"Liver Res"},{"key":"R4-91-20260114","doi-asserted-by":"crossref","first-page":"e183","DOI":"10.1308\/rcsann.2017.0101","article-title":"Laparoscopic treatment of cystic artery pseudoaneurysm in the presence of calculous cholecystitis","volume":"99","author":"Zucker","year":"2017","journal-title":"Ann. R. Coll. Surg. Engl"},{"key":"R5-91-20260114","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1016\/j.vgie.2018.12.004","article-title":"EUS-guided thrombin injection of cystic artery pseudoaneurysm leading to Mirizzi\u2019s syndrome and hemobilia","volume":"4","author":"Sharma","year":"2019","journal-title":"VideoGIE"},{"key":"R6-91-20260114","doi-asserted-by":"crossref","first-page":"498","DOI":"10.1177\/1538574417720363","article-title":"Transcatheter embolization of cystic artery pseudoaneurysms secondary to acute cholecystitis","volume":"51","author":"Tapnio","year":"2017","journal-title":"Vasc. Endovascular Surg"},{"key":"R7-91-20260114","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.ijsu.2018.10.028","article-title":"The SCARE 2018 statement: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"60","author":"Agha","year":"2018","journal-title":"Int. J. Surg"},{"key":"R9-91-20260114","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1016\/j.clinimag.2014.03.002","article-title":"Cystic artery pseudoaneurysm presenting as a complication of laparoscopic cholecystectomy treated with percutaneous thrombin injection","volume":"38","author":"Kumar","year":"2014","journal-title":"Clin. Imaging"},{"key":"R10-91-20260114","first-page":"240","article-title":"Hemobilia complicating elective laparoscopic cholecystectomy: a case report","volume":"39","author":"Yelle","year":"1996","journal-title":"Can. J. Surg"},{"key":"R11-91-20260114","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1016\/j.gastrohep.2017.04.002","article-title":"Non traumatic pseudoaneurysm of the cystic artery as a cause of haemobilia","volume":"41","author":"Medina Velazquez","year":"2018","journal-title":"Gastroenterol. Hepatol"},{"key":"R13-91-20260114","doi-asserted-by":"crossref","first-page":"53","DOI":"10.4103\/0972-9941.16527","article-title":"Anatomy relevant to cholecystectomy","volume":"1","author":"Nagral","year":"2005","journal-title":"J. Minim. Access Surg"},{"key":"R14-91-20260114","doi-asserted-by":"crossref","first-page":"140","DOI":"10.9738\/CC52.1","article-title":"Hemobilia due to cystic artery stump pseudoaneurysm following laparoscopic cholecystectomy: case presentation and literature review","volume":"97","author":"Petrou","year":"2012","journal-title":"Int. Surg"},{"key":"R15-91-20260114","doi-asserted-by":"crossref","first-page":"73","DOI":"10.4103\/0972-9941.26652","article-title":"Pseudo-aneurysm of the hepatic artery after laparoscopic cholecystectomy: a case report","volume":"2","author":"Roche-Nagle","year":"2006","journal-title":"J. Minim. Access Surg"},{"key":"R16-91-20260114","doi-asserted-by":"crossref","first-page":"1510","DOI":"10.1016\/j.jvs.2009.12.061","article-title":"Successful treatment of an iatrogenic right hepatic artery pseudoaneurysm and stenosis with a stent graft","volume":"51","author":"Hylton","year":"2010","journal-title":"J. Vasc. Surg"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220310567?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220310567?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.11.033","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:08:35Z","timestamp":1768396115000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.11.033"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":14,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2020.11.033","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2020,1]]}}}