Acute cholecystitis with massive upper gastrointestinal bleed: A case report and review of the literature

BMC Gastroenterology

Table 1 Summary of the 10 previously reported cases and our case of cystic artery pseudoaneurysm after cholecystitis.

Sno	Age/sex	Presentation	Diagnosis		Management	Embolization
			Initial	Final
1	64/male²	UGIH	USG Doppler	DSA	Ligation + cholecystectomy + CBD exploration	Not done
2	66/female³	UGIH	USG Doppler	DSA	Cholecystectomy + IOC	Failed
3	61/male⁵	Haemobilia	-	DSA	Cholecystectomy +CBD exploration	Not done
4	72/female⁸	Haemobilia	SVE bleeding papilla	DSA	Cholecystectomy + ligation	Not done
5	70/male⁹	Haemobilia	SVE bleeding papilla	DSA	Cholecystectomy + ligation	Failed
6	72/male¹⁰	Haemobilia	USG Doppler	DSA	Cholecystectomy + ligation	Not done
7	71/female¹¹	Haemobilia	SVE bleeding papilla	DSA	Exploration + drainage	Not done
8	32/female¹³	Haemobilia	SVE bleeding papilla	DSA	Cholecystectomy + ligation	Not done
9	62/male¹⁴	Haemobilia	SVE bleeding papilla	DSA	Cholecystectomy	Done
10	43/male¹⁵	Haemobilia	SVE bleeding papilla	DSA	Cholecystectomy + ligation	Not done
11	43/female*	UGIH	USG Doppler	DSA	Cholecystectomy+ CBD exploration+ duodenal repair+ pyloric exclusion+ GJ	Done

• CBD: Common bile duct, DSA: Digital substraction angiography, SVE: Side viewing endoscopy, USG: Ultrasonography, UGIH: Upper gastrointestinal hemorrhage, IOC: Intra operative cholangiogram, GJ: gastrojejunostomy
• Ref 6,7, 12 not included as patient details are not available
• * Refers to the patient in the present case report

ISSN: 1471-230X