World Journal of Laparoscopic Surgery

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VOLUME 3 , ISSUE 3 ( September-December, 2010 ) > List of Articles

RESEARCH ARTICLE

Severe Hemobilia from Hepatic Artery Pseudoaneurysm after Laparoscopic Cholecystectomy: A Case Report and Review of Literature

Fabio Sansonna, Stefano Boati, Raffella Sguinzi, Raffaele Pugliese, Carmelo Migliorisi, Francesco Pugliese

Citation Information : Sansonna F, Boati S, Sguinzi R, Pugliese R, Migliorisi C, Pugliese F. Severe Hemobilia from Hepatic Artery Pseudoaneurysm after Laparoscopic Cholecystectomy: A Case Report and Review of Literature. World J Lap Surg 2010; 3 (3):117-121.

DOI: 10.5005/jp-journals-10007-1095

Published Online: 01-12-2010

Copyright Statement:  Copyright © 2010; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background

Hemobilia is a rare, jeopardizing complication of laparoscopic cholecystectomy coming upon patients generally within 4 weeks from surgery. The first line management is angiographic coil embolization of hepatic arteries, which checks the majority of bleedings whereas in a minority of cases, a second embolization or even laparotomy is needed.

Case presentation

We describe the case history of a patient who had laparoscopic cholecystectomy complicated three weeks later by massive hemobilia. The cause of hemorrhage was a pseudoaneurysm of a right hepatic artery branching off the superior mesenteric artery. This complication was managed successfully by one stage angiographic embolization with full recovery of the patient.


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