Cystic artery pseudoaneurysm: an uncommon complication of a common disease

Cystic artery pseudoaneurysm, though rare, is a notable cause of upper GI bleed. Here, we report an unusual presentation gastrointestinal haemorrhage due to cystic pseudoaneurysm secondary acute cholecystitis in 54-year-old male. Initial imaging revealed cholelithiasis with evidence cholecystitis. Further investigations Doppler ultrasound and CT suggested hyperdense contents the gall bladder suggesting blood products. Taking into consideration risk hemorrhage during procedure, patient was taken up for open cholecystectomy. This case emphasizes need high level awareness pseudo-aneurysmal disease inclusion as one differential diagnosis presenting recurrent quadrant pain, jaundice melena or hemobilia.