Reviewer's report
Title:Emergency cholecystectomy and hepatic arterial repair in a patient
presenting with haemobilia and massive gastrointestinal haemorrhage due to a
spontaneous cystic artery gallbladder fistula masquerading as a
pseudoaneurysm.
Version: 3Date:27 November 2012
Reviewer: Nadeem Siddiqui
Reviewer's report:
Major Compulsory Revisions:
- The term of SPONTANEOUS in the title and whole substance of article is
confusing. We know that the fistula between cystic artery and gall bladder can
arises because of the inflammation of gall bladder, which is present in this case.
It seems in this patient that episode of acute cholecystitis had been complicated
by cholecysto- duodenal fistula and then erosion of cystic artery into gall bladder.
So the triggering event here is the cholecystitis. If this is the case, then word
SPONTANEOUS in this whole article needs explanation.
- Static film of angiography (rather than video) with more clear visualization of
artery and “so called” pseudo aneurysm should be provided.
- One of the major incident in this patient clinical course is the migration of micro
coil, It would seem appropriate if author give some information (etiology,
incidence and current management options of this complication,) regarding this
event (in discussion section).
Minor Essential Revision:
- Pictures of endoscopy demonstrating ulcer should be provided.
- In discussion section, author should also provide the comparison of the present
case with previous reported cases (in terms of presentation ad management) and
the explanation of any difference, if any exists.
Level of interest: An article of limited interest
Quality of written English: Acceptable
Statistical review: No, the manuscript does not need to be seen by a
statistician.
Declaration of competing interests:
I declare that I have no competing interests
Reviewer's report
Title:Emergency cholecystectomy and hepatic arterial repair in a patient
presenting with haemobilia and massive gastrointestinal haemorrhage due to a
spontaneous cystic artery gallbladder fistula masquerading as a
pseudoaneurysm.
Version: 3Date:27 November 2012
Reviewer: Nadeem Siddiqui
Reviewer's report:
Major Compulsory Revisions:
- The term of SPONTANEOUS in the title and whole substance of article is
confusing. We know that the fistula between cystic artery and gall bladder can
arises because of the inflammation of gall bladder, which is present in this case.
It seems in this patient that episode of acute cholecystitis had been complicated
by cholecysto- duodenal fistula and then erosion of cystic artery into gall bladder.
So the triggering event here is the cholecystitis. If this is the case, then word
SPONTANEOUS in this whole article needs explanation.
- Static film of angiography (rather than video) with more clear visualization of
artery and “so called” pseudo aneurysm should be provided.
- One of the major incident in this patient clinical course is the migration of micro
coil, It would seem appropriate if author give some information (etiology,
incidence and current management options of this complication,) regarding this
event (in discussion section).
Minor Essential Revision:
- Pictures of endoscopy demonstrating ulcer should be provided.
- In discussion section, author should also provide the comparison of the present
case with previous reported cases (in terms of presentation ad management) and
the explanation of any difference, if any exists.
Level of interest: An article of limited interest
Quality of written English: Acceptable
Statistical review: No, the manuscript does not need to be seen by a
statistician.
Declaration of competing interests:
I declare that I have no competing interests
Please review this paper.
user
Reviewer's report
Title:Emergency cholecystectomy and hepatic arterial repair in a patient
presenting with haemobilia and massive gastrointestinal haemorrhage due to a
spontaneous cystic artery gallbladder fistula masquerading as a
pseudoaneurysm.
Version: 3Date:27 November 2012
Reviewer: Nadeem Siddiqui
Reviewer's report:
Major Compulsory Revisions:
- The term of SPONTANEOUS in the title and whole substance of article is
confusing. We know that the fistula between cystic artery and gall bladder can
arises because of the inflammation of gall bladder, which is present in this case.
It seems in this patient that episode of acute cholecystitis had been complicated
by cholecysto- duodenal fistula and then erosion of cystic artery into gall bladder.
So the triggering event here is the cholecystitis. If this is the case, then word
SPONTANEOUS in this whole article needs explanation.
- Static film of angiography (rather than video) with more clear visualization of
artery and “so called” pseudo aneurysm should be provided.
- One of the major incident in this patient clinical course is the migration of micro
coil, It would seem appropriate if author give some information (etiology,
incidence and current management options of this complication,) regarding this
event (in discussion section).
Minor Essential Revision:
- Pictures of endoscopy demonstrating ulcer should be provided.
- In discussion section, author should also provide the comparison of the present
case with previous reported cases (in terms of presentation ad management) and
the explanation of any difference, if any exists.
Level of interest: An article of limited interest
Quality of written English: Acceptable
Statistical review: No, the manuscript does not need to be seen by a
statistician.
Declaration of competing interests:
I declare that I have no competing interests
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