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BMC Surg. 2016 Aug 22;16(1):59. doi: 10.1186/s12893-016-0175-9.

Delayed hemobilia due to hepatic artery pseudo-aneurysm: a pitfall of laparoscopic cholecystectomy.

Author information

1
Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
2
Department of Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
3
Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia. dr.aljiffry@gmail.com.

Abstract

BACKGROUND:

Hepatic artery pseudoaneurysm as a complication of laparoscopic cholecystectomy is considered a rare, potentially life threatening condition.

CASE PRESENTATION:

We report a case of late onset hemobilia presenting 8 months following elective laparoscopic cholecystectomy with complex biliary and vascular injury. The patient was treated surgically with primary repair of the aneurysm and hepaticojujenostomy.

CONCLUSION:

A high index of suspicion should be raised when encountering a patient with massive upper GI bleeding and a previous history of hepatobiliary manipulation or surgery regardless of postoperative period.

PMID:
27549188
PMCID:
PMC4994233
DOI:
10.1186/s12893-016-0175-9
[Indexed for MEDLINE]
Free PMC Article

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