{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T01:21:53Z","timestamp":1768440113855,"version":"3.49.0"},"reference-count":17,"publisher":"International College of Surgeons","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:p>Hemobilia is the process of bleeding into the biliary tree and is an unusual cause of upper gastrointestinal hemorrhage. When this event results from a cystic artery pseudoaneurysm, it is a particularly rare phenomenon; fewer than 20 cases are described in the literature. Alongside the literature review, we report a case of a 34-year-old woman presenting 3\u00a0months post laparoscopic cholecystectomy with hematemesis. Computed tomography (CT) angiography revealed a cystic artery pseudoaneurysm. Following an ineffective hyperselective arterial embolization, the patient was successfully treated by surgical ligation of the right hepatic artery. Even though this complication is uncommon, all surgeons need to be aware of its presentation and of available therapeutic options.<\/jats:p>","DOI":"10.9738\/cc52.1","type":"journal-article","created":{"date-parts":[[2012,10,25]],"date-time":"2012-10-25T15:57:41Z","timestamp":1351180661000},"page":"140-144","source":"Crossref","is-referenced-by-count":29,"title":["Hemobilia Due to Cystic Artery Stump Pseudoaneurysm Following Laparoscopic Cholecystectomy: Case Presentation and Literature Review"],"prefix":"10.9738","volume":"97","author":[{"given":"Athanasios","family":"Petrou","sequence":"first","affiliation":[{"name":"Department of Hepatobiliary Surgery, Churchill Hospital, Oxford, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"Brennan","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery, Churchill Hospital, Oxford, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zahir","family":"Soonawalla","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery, Churchill Hospital, Oxford, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael Anthony","family":"Silva","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery, Churchill Hospital, Oxford, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4721","reference":[{"issue":"6","key":"i0020-8868-97-2-140-Green1","series-title":"Br J Surg","first-page":"773","article-title":"Haemobilia.","volume":"88","author":"Green\n              MHA","year":"2001","unstructured":"Green\n              MHA\n            , JohnsonCD, and JamiesonNV. Haemobilia.Br J Surg2001. 88 (6):773\u2013786."},{"issue":"1","key":"i0020-8868-97-2-140-Golich1","series-title":"Eur Radiol","first-page":"85","article-title":"Non-operative management of arterial liver hemorrhages.","volume":"9","author":"Golich\n              J","year":"1999","unstructured":"Golich\n              J\n            , RilingerN, BradoM, HuppertP, VogelJ, SiechM, et al. Non-operative management of arterial liver hemorrhages.Eur Radiol1999. 9 (1):85\u201388. ."},{"issue":"6","key":"i0020-8868-97-2-140-Merrell1","series-title":"West J Med","first-page":"621","article-title":"Hemobilia: evolution of current diagnosis and treatment.","volume":"155","author":"Merrell\n              SW","year":"1991","unstructured":"Merrell\n              SW\n             and SchneiderPD. Hemobilia: evolution of current diagnosis and treatment.West J Med1991. 155 (6):621\u2013625."},{"issue":"8","key":"i0020-8868-97-2-140-Fullarton1","series-title":"Gut","first-page":"1121","article-title":"Prospective audit of the introduction of laparoscopic cholecystectomy in the west of Scotland. West of Scotland Laparoscopic Cholecystectomy Audit Group.","volume":"35","author":"Fullarton\n              GM","year":"1994","unstructured":"Fullarton\n              GM\n             and BellG. Prospective audit of the introduction of laparoscopic cholecystectomy in the west of Scotland. West of Scotland Laparoscopic Cholecystectomy Audit Group.Gut1994. 35 (8):1121\u20131126."},{"issue":"1","key":"i0020-8868-97-2-140-Peters1","series-title":"Ann Surg","first-page":"3","article-title":"Safety and efficacy of laparoscopic cholecystectomy: a prospective analysis of 100 initial patients.","volume":"213","author":"Peters\n              JH","year":"1991","unstructured":"Peters\n              JH\n            , EllisonEC, InnesJT, LissJL, NicholsKE, LomanoJM, et al. Safety and efficacy of laparoscopic cholecystectomy: a prospective analysis of 100 initial patients.Ann Surg1991. 213 (1):3\u201312."},{"issue":"3","key":"i0020-8868-97-2-140-Stewart1","series-title":"Aust N Z J Surg","first-page":"185","article-title":"Postcholecystectomy haemobilia: enjoying a renaissance in the laparoscopic era?","volume":"65","author":"Stewart\n              BT","year":"1995","unstructured":"Stewart\n              BT\n            , AbrahamRJ, ThomsonKR, and CollierNA. Postcholecystectomy haemobilia: enjoying a renaissance in the laparoscopic era?Aust N Z J Surg1995. 65 (3):185\u2013188."},{"issue":"3","key":"i0020-8868-97-2-140-Madanur1","series-title":"Hepatobiliary Pancreat Dis Int","first-page":"294","article-title":"Pseudoaneurysm following laparoscopic cholecystectomy.","volume":"6","author":"Madanur\n              MA","year":"2007","unstructured":"Madanur\n              MA\n            , BattulaN, SethiH, DeshpandeR, HeatonN, and RelaM. Pseudoaneurysm following laparoscopic cholecystectomy.Hepatobiliary Pancreat Dis Int2007. 6 (3):294\u2013298."},{"issue":"1","key":"i0020-8868-97-2-140-England1","series-title":"Clin Radiol","first-page":"72","article-title":"Case report: pseudoaneurysm of the cystic artery: a rare cause of hemobilia.","volume":"53","author":"England\n              RE","year":"1998","unstructured":"England\n              RE\n            , MarshPJ, AshleighR, and MartinDF. 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Visceral artery pseudoaneurysms following pancreatoduodenectomy.Arch Surg2002. 137 (1):55\u201359."},{"issue":"Feb","key":"i0020-8868-97-2-140-Hofmann1","series-title":"News Physiol Sci","first-page":"24","article-title":"Bile acids: the good, the bad, and the ugly.","volume":"14","author":"Hofmann\n              AF","year":"1999","unstructured":"Hofmann\n              AF\n            \n          . Bile acids: the good, the bad, and the ugly.News Physiol Sci1999. 14 (Feb):24\u201329."},{"issue":"3","key":"i0020-8868-97-2-140-Croce1","series-title":"Am J Surg","first-page":"235","article-title":"Traumatic hepatic artery pseudoaneurysm with hemobilia.","volume":"168","author":"Croce\n              MA","year":"1994","unstructured":"Croce\n              MA\n            , FabianTC, SpiersJP, and KudskKA. Traumatic hepatic artery pseudoaneurysm with hemobilia.Am J Surg1994. 168 (3):235\u2013238."},{"issue":"1","key":"i0020-8868-97-2-140-Hagiwara1","series-title":"J Trauma","first-page":"49","article-title":"Relationship between pseudoaneurysm formation and biloma after successful transarterial embolization for severe hepatic injury: permanent embolization using stainless steel coils prevents pseudoaneurysm formation.","volume":"59","author":"Hagiwara\n              A","year":"2005","unstructured":"Hagiwara\n              A\n            , TaruiT, MurataA, MatsudaT, YamagutiY, and ShimazakiS. Relationship between pseudoaneurysm formation and biloma after successful transarterial embolization for severe hepatic injury: permanent embolization using stainless steel coils prevents pseudoaneurysm formation.J Trauma2005. 59 (1):49\u201355."},{"key":"i0020-8868-97-2-140-Stanley1","series-title":"Vascular Surgery","first-page":"973","article-title":"Splanchnic artery aneurysms.","author":"Stanley\n              JC","year":"1989","unstructured":"Stanley\n              JC\n             and ZelenockGB. Splanchnic artery aneurysms.In:RutherfordRB. ed.Vascular Surgery. Philadelphia, PASaunders. 1989. 973\u2013975."},{"issue":"6","key":"i0020-8868-97-2-140-Sibulesky1","series-title":"Am J Surg","first-page":"797","article-title":"Hemobilia due to cystic artery pseudoaneurysm.","volume":"191","author":"Sibulesky\n              L","year":"2006","unstructured":"Sibulesky\n              L\n            , RidlenM, and PricoloVE. Hemobilia due to cystic artery pseudoaneurysm.Am J Surg2006. 191 (6):797\u2013798."},{"issue":"6","key":"i0020-8868-97-2-140-Maeda1","series-title":"J Hepatobiliary Pancreat Surg","first-page":"755","article-title":"Pseudoaneurysm of the cystic artery with hemofbilia treated by arterial embolization and elective cholecystectomy.","volume":"9","author":"Maeda\n              A","year":"2002","unstructured":"Maeda\n              A\n            , KunouT, SaekiS, AonoK, MurataT, NiinomiN, et al. Pseudoaneurysm of the cystic artery with hemofbilia treated by arterial embolization and elective cholecystectomy.J Hepatobiliary Pancreat Surg2002. 9 (6):755\u2013758."},{"issue":"12","key":"i0020-8868-97-2-140-Liu1","series-title":"World J Gastroenterol","first-page":"2883","article-title":"Life-threatening hemobilia caused by hepatic artery pseudoaneurysm: a rare complication of chronic cholangitis.","volume":"9","author":"Liu\n              TT","year":"2003","unstructured":"Liu\n              TT\n            , HouMC, LinHC, ChangFY, and LeeSD. Life-threatening hemobilia caused by hepatic artery pseudoaneurysm: a rare complication of chronic cholangitis.World J Gastroenterol2003. 9 (12):2883\u20132884."}],"container-title":["International Surgery"],"original-title":[],"link":[{"URL":"https:\/\/international-surgery.kglmeridian.com\/view\/journals\/insu\/97\/2\/article-p140.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/international-surgery\/article-pdf\/97\/2\/140\/2213730\/cc52_1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/international-surgery.kglmeridian.com\/downloadpdf\/journals\/insu\/97\/2\/article-p140.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/international-surgery.kglmeridian.com\/downloadpdf\/journals\/insu\/97\/2\/article-p140.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T19:01:20Z","timestamp":1751482880000},"score":1,"resource":{"primary":{"URL":"https:\/\/international-surgery.kglmeridian.com\/view\/journals\/insu\/97\/2\/article-p140.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,10]]},"references-count":17,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.9738\/cc52.1","relation":{},"ISSN":["0020-8868","2520-2456"],"issn-type":[{"value":"0020-8868","type":"print"},{"value":"2520-2456","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,10]]}}}