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Case Rep Gastrointest Med. 2011;2011:925142. doi: 10.1155/2011/925142. Epub 2011 Sep 6.

Severe hemobilia from hepatic artery pseudoaneurysm.

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1
General Surgery and Videolaparoscopy Department, Niguarda Hospital, Piazza Ospedale Maggiore 3, 20162 Milano, Italy.

Abstract

BACKGROUND:

Hemobilia is a rare, jeopardizing complication of laparoscopic cholecystectomy coming upon usually within 4 weeks after surgery. The first-line management is angiographic coil embolization of hepatic arteries, which is successful in the majority of bleedings: in a minority of cases, a second embolization or even laparotomy is needed.

CASE PRESENTATION:

We describe the case history of a patient in which laparoscopic cholecystectomy was complicated 3 weeks later by massive hemobilia. The cause of haemorrhage was a pseudoaneurysm of a right hepatic artery branching off the superior mesenteric artery; this complication was successfully managed by one-stage angiographic embolization with full recovery of the patient.

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