Omental Artery Bleeding: A Rare Complication of Percutaneous Cholecystostomy-Reference-Cited by-同舟云学术

Omental Artery Bleeding: A Rare Complication of Percutaneous Cholecystostomy

Published:2023-10-31 Issue: Volume: Page:
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Author:

Al-Mehiawi Adil¹^ORCID,Common Andrew²,Dalton Andrew¹

Affiliation:

1. Memorial University of Newfoundland Faculty of Medicine

2. University of Toronto

Abstract

Abstract Background: Percutaneous cholecystostomy (PCC) is often performed to treat acute cholecystitis in critically ill or high-risk surgical patients. This case report illuminates a rare complication following PCC that has not been previously reported in the literature. Case Presentation: A 49-year-old male with a complex medical history presented with symptoms indicative of cholecystitis which was confirmed on imaging. The patient underwent PCC with no intra-procedural complications. Post-procedure, the patient experienced a significant drop in vital signs with intraperitoneal free fluid on CT. Prompt fluoroscopy-guided angiography that identified bleeding from an omental artery, along with subsequent embolization of the bleeding artery were crucial in stabilizing the patient's condition. Conclusion: This case report underscores the importance of comprehensive anatomical understanding, procedural vigilance, and swift response to complications during PCC. The uniqueness of this case lies in the rarity of the complication and the successful management, thereby enriching the existing compendium of knowledge on PCC-associated risks.

Publisher

Research Square Platform LLC

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