Laparoscopic management of a ruptured cystic artery pseudoaneurysm secondary to biliary adenocarcinoma: Technical challenges and implications for surgical training
• Ruptured cystic artery pseudoaneurysm causing haemoperitoneum is rare • Ruptured cystic artery pseudoaneurysm rupture may reveal underlying biliary adenocarcinoma • Emergency laparoscopy management is feasible despite Nassar Grade IV difficulty • A structured fundus-first strategy enables safe vascular control • Simulation-based training may improve preparedness for rare biliary emergencies
Authors
- Maria Fernanda Cunha (ORCID: https://orcid.org/0000-0001-5772-5844)
- Antonello Forgione (ORCID: https://orcid.org/0000-0003-2038-8957)
- Miguel Castelo-Branco Sousa
- Mário Rui Gonçalves
- Monica Laureano
- Ricardo Marinho (ORCID: https://orcid.org/0009-0000-4530-2158)
Institutions
- University of Beira Interior (PT)
- Instituto Politécnico de Leiria (PT)
- Institut de Recherche contre les Cancers de l’Appareil Digestif (FR)
Publication Details
- Journal
- Laparoscopic Endoscopic and Robotic Surgery
- Published
- 2026-05-01
- DOI
- https://doi.org/10.1016/j.lers.2026.04.004
- Primary Topic
- Gallbladder and Bile Duct Disorders
- Type
- article
- Field-Weighted Citation Impact
- 0.00