Evidence map›Paper›PMID 33887837›Full record

ArticleInternational journal of surgery case reports2021

Common hepatic artery pseudoaneurysm: A rare complication following total gastrectomy: A case report.

Sanjeev Kharel, Suraj Shrestha, Nitin Gyawali, Narendra Maharjan, Ajit Thapa, Bishnu Prasad Kandel, Paleswan Joshi Lakhey

Open access · goldAbstract readCase Reports
In one paragraph

Article in International journal of surgery case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.5field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Visceral Arterial Pseudoaneurysms-A Clinical Review.Medicina (Kaunas, Lithuania) · 2025
    Review
  3. Review
  4. Stenting of a hepatic artery pseudoaneurysm rupture secondary to a celiac artery dissection.Journal of vascular surgery cases and innovative techniques · 2024
    Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Sanjeev KharelMaharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal. Electronic address: Kharel_sanjeev@iom.edu.np.
Suraj ShresthaMaharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal. Electronic address: multisurazz@gmail.com.
Nitin GyawaliMaharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal. Electronic address: nitin.gyawali@gmail.com.
Narendra MaharjanDepartment of Gastrointestinal and General Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal. Electronic address: narendramaharjancms@gmail.com.
Ajit ThapaDepartment of Radiology and Imaging, Tribhuvan University Teaching Hospital, Kathmandu, Nepal. Electronic address: drajitthapa@gmail.com.
Bishnu Prasad KandelDepartment of Gastrointestinal and General Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal. Electronic address: drkandel@hotmail.com.
Paleswan Joshi LakheyDepartment of Gastrointestinal and General Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal. Electronic address: lakheypj@gmail.com.
Tribhuvan University Teaching Hospital · NP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and importanceCommon Hepatic Artery (CHA) Pseudoaneurysm is a rare entity, attributed to infections, trauma, and upper abdominal surgery. Most cases occur after biliary and pancreatic surgery. CHA pseudoaneurysm after total gastrectomy is uncommon and can be devastating. CASE PRESENTATION: A 58-years male who underwent D2 total gastrectomy for gastric carcinoma ten days ago, presented with hematemesis, epigastric pain, and a history of melaena. After admission, upper gastrointestinal endoscopy showed a clot at the jejunojejunostomy site. Computed tomography with angiography was diagnostic of pseudoaneurysm of CHA located inferiorly. Coil embolization of CHA was done and the patient improved. CLINICAL DISCUSSION: Pseudoaneurysm of the common hepatic artery is a serious complication after abdominal surgery. Only a few cases have been reported with similar symptoms related to gastrointestinal bleeding following various upper abdominal surgeries. Coil embolization is a gold standard technique with a high success rate.

conclusionCHA pseudoaneurysm is a dreadful potential complication of abdominal surgery including gastrectomy. Early recognition and emergency management of CHA pseudoaneurysm are crucial for a favorable outcome for patients with bleeding from CHA aneurysm.

Indexed as

Common hepatic arteryEmbolizationGastrectomyPseudoaneurysm

Identifiers

PMID33887837
PMCPMC8027270
OpenAlexW3137650230

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.