Nursing care of a patient with rupture and bleeding of cystic artery pseudoaneurysm

Abstract

Rationale: Biliary bleeding, a rare cause of upper gastrointestinal bleeding, is rarely caused by cystic artery pseudoaneurysms. In this article, a case of abdominal hemorrhage caused by a ruptured cystic artery pseudoaneurysm is reported and its main nursing measures are outlined. Patient concerns: A 50-year-old man was admitted to the emergency room with intermittent pain in the right upper abdomen lasting for a month that had become worse for 1 day. Diagnosis: The main manifestations included pain in the right upper abdomen, rebound pain, and muscle tension. Celiac angiography revealed an aneurysm of the cystic artery. Imaging revealed a hematoma in and around the duodenum. Nursing evaluation revealed a painful face, elevated body temperature, and moist skin with a potential risk of shock. The diagnosis was ruptured and bleeding of a cystic artery pseudoaneurysm. Interventions: The patient underwent cholecystic artery embolization under local anesthesia, followed by ultrasound-guided gallbladder puncture, drainage, and cholecystectomy carried out successively. Accurate nursing care was provided to the patient for delirium, paralytic intestinal obstruction, septic shock, and thrombus during hospitalization. Outcomes: The patient was hospitalized for a total of 20 days, discharged after careful treatment and care, and followed-up by nurses by telephone once a month for half a year. Lessons: Although rupture and bleeding of cystic artery pseudoaneurysms are rare, they can cause complications that may occur quickly and even threaten life. Therefore, it is necessary to carefully observe changes in the patient condition during the nursing process and provide comprehensive and high-quality care to promote patient recovery.