{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T07:08:01Z","timestamp":1793862481817,"version":"4.6.1"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,1,15]],"date-time":"2020-01-15T00:00:00Z","timestamp":1579046400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,1,15]],"date-time":"2020-01-15T00:00:00Z","timestamp":1579046400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["CVIR Endovasc"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>Cystic artery pseudoaneurysms are rare. It usually occurs as a complication of laparoscopic cholecystectomy, but can arise uncommonly as a complication of acute cholecystitis. Ruptured cystic artery aneurysms present with haemobilia, intraperitoneal or upper gastrointestinal bleeding. We present an unusual case of cystic artery aneurysm presenting as a massive lower gastrointestinal bleed.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Case presentation<\/jats:title>\n<jats:p>A 47-year-old man was admitted with a thoracic abscess and was noted incidentally on CT to have acute cholecystitis. Subsequently the patient then presented with massive fresh PR bleeding. This was found on CT to be the result of a cystic artery pseudoaneurysm with associated gallbladder fistulation to the hepatic flexure, secondary to cholecystitis. The patient was treated with coil embolisation of the cystic artery made a full recovery and was discharged with a view to performing an elective cholecystectomy.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Cystic artery pseudoaneurysm is a rare complication of cholecystitis which can present as massive lower gastrointestinal haemorrhage secondary to cholecystocolic fistula. Percutaneous embolization is a safe and effective treatment in the acute phase.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s42155-019-0090-0","type":"journal-article","created":{"date-parts":[[2020,1,15]],"date-time":"2020-01-15T06:03:25Z","timestamp":1579068205000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Case report: cystic artery pseudoaneurysm presenting as a massive per rectum bleed treated with percutaneous coil embolization"],"prefix":"10.1186","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8237-4158","authenticated-orcid":false,"given":"Frank","family":"Carey","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus","family":"Rault","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Crawford","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Lewis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelvin","family":"Tan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,1,15]]},"reference":[{"key":"90_CR1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2016\/1489013","volume":"2016","author":"Deniz Alis","year":"2016","unstructured":"Alis D, Ferahman S, Demiryas S, Samanci C, Ustabasioglu FE (2016) Laparoscopic management of a very rare case: cystic artery pseudoaneurysm secondary to acute cholecystitis. Case Rep Surg 2016:3. Article ID 1489013. https:\/\/doi.org\/10.1155\/2016\/1489013.","journal-title":"Case Reports in Surgery"},{"issue":"2","key":"90_CR2","first-page":"134","volume":"24","author":"U Anand","year":"2011","unstructured":"Anand U, Thakur SK, Kumar S, Jha A, Prakash V (2011) Idiopathic cystic artery aneurysm complicated with haemobilia. Ann Gastroenterol 24(2):134\u2013136","journal-title":"Ann Gastroenterol"},{"issue":"2","key":"90_CR3","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1055\/s-2006-941442","volume":"23","author":"TW Clark","year":"2006","unstructured":"Clark TW et al (2006) Complications of hepatic chemoembolization. Semin Intervent Radiol 23(2):119\u2013125","journal-title":"Semin Intervent Radiol"},{"issue":"2","key":"90_CR4","first-page":"18","volume":"4","author":"AU Desai","year":"2010","unstructured":"Desai AU et al (2010) Successful Transcatheter arterial embolisation of a cystic artery Pseudoaneurysm secondary to Calculus Cholecystitis: a case report. J Radiol Case Rep 4(2):18\u201322","journal-title":"J Radiol Case Rep"},{"key":"90_CR5","doi-asserted-by":"publisher","first-page":"1535","DOI":"10.1111\/j.1572-0241.1998.475_y.x","volume":"93","author":"L Kaman","year":"1998","unstructured":"Kaman L, Kumar S, Behera A, Katariya RN (1998) Pseudoaneurysm of the cystic artery: a rare cause of haemobilia. Am J Gastroenterol 93:1535\u20131537","journal-title":"Am J Gastroenterol"},{"key":"90_CR6","doi-asserted-by":"publisher","first-page":"182","DOI":"10.1016\/j.ijscr.2015.08.007","volume":"14","author":"S Loizides","year":"2015","unstructured":"Loizides S et al (2015) Laparoscopic management of a cystic artery pseudoaneurysm in a patient with acute calculus cholecystitis. Int J Surg Case Rep 14:182\u2013185","journal-title":"Int J Surg Case Rep"},{"key":"90_CR7","first-page":"454","volume":"38","author":"NJ Lygidakis","year":"1991","unstructured":"Lygidakis NJ, Okasaki M, Damtsios G (1991) Iatrogenic haemobilia: how to approach it. Hepatogastroenterology. 38:454\u2013457","journal-title":"Hepatogastroenterology."},{"issue":"2","key":"90_CR8","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1093\/jscr\/2010.2.4","volume":"2010","author":"N Nkwam","year":"2010","unstructured":"Nkwam N, Heppenstall K (2010 Apr 1) Unruptured Pseudoaneurysm of the cystic artery associated with acute calculus cholecystitis. J Surg Case Rep 2010(2):4","journal-title":"J Surg Case Rep"},{"key":"90_CR9","doi-asserted-by":"publisher","unstructured":"Proen\u00e7a AL et al (2019) Transarterial Embolisation of Iatrogenic Cystic Artery Pseudoaneurysm. GE Port J Gastroenterol:1\u20134. https:\/\/doi.org\/10.1159\/000501400","DOI":"10.1159\/000501400"},{"key":"90_CR10","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1186\/1471-230X-7-12","volume":"7","author":"SS Saluja","year":"2007","unstructured":"Saluja SS et al (2007) Acute cholecystitis with massive upper gastrointestinal bleed: a case report and review of the literature. BMC Gastroenterol 7:12","journal-title":"BMC Gastroenterol"}],"container-title":["CVIR Endovascular"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s42155-019-0090-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s42155-019-0090-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s42155-019-0090-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,14]],"date-time":"2021-01-14T00:05:20Z","timestamp":1610582720000},"score":1,"resource":{"primary":{"URL":"https:\/\/CVIRendovasc.springeropen.com\/articles\/10.1186\/s42155-019-0090-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,15]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["90"],"URL":"https:\/\/doi.org\/10.1186\/s42155-019-0090-0","relation":{},"ISSN":["2520-8934"],"issn-type":[{"value":"2520-8934","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,15]]},"assertion":[{"value":"17 June 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 December 2019","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 January 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Approved by trust review committee.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written consent was obtained from the patient.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"8"}}