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Logo of bmjcrInstructions for authorsCurrent ToCBMJ Case Reports
 
BMJ Case Rep. 2010; 2010: bcr0820103258.
Published online Nov 29, 2010. doi:  10.1136/bcr.08.2010.3258
PMCID: PMC3028025
Unusual association of diseases/symptoms
Right hepatic artery false aneurysm secondary to acalculous cholecystitis
Joanne Bennett,1 Dominic Fay,2 and Richard Krysztopik3
1Department of Medical Education, North Bristol NHS Trust, Bristol, UK
2Department of Radiology, Royal United Hospital, Bath, UK
3Department of General Surgery, Royal United Hospital, Bath, UK
Correspondence to Joanne Bennett, jbennett/at/doctors.org.uk
Abstract
The present report describes a case of an extrahepatic right hepatic artery pseudoaneurysm caused by acalculous cholecystitis. An 85-year-old man was admitted with abdominal pain, cachexia and jaundice. A CT scan showed a saccular false right hepatic artery aneurysm within a soft tissue and fluid mass that was causing biliary obstruction. The soft tissue mass raised the possibility of malignant disease, but this resolved slowly after a period of time and on reviewing the patient's history the only upper gastrointestinal problem noted was an episode of acalculous cholecystitis 3 months previously, which was believed to be the cause of the pseudoaneurysm. The false aneurysm was treated successfully with coil embolisation and the patient recovered fully from this illness.
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