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: 01-04-2013

Copyright Statement:  Copyright © 2010; The Author(s).


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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  1. Hemobilia as a complication of laparoscopic cholecystectomy. Surg Laparosc Endosc 1995;4:301-03.
  2. Hepatic artery pseudoaneurysm and hemobilia following laser laparoscopic cholecystectomy. Surg Endosc 1994;8:201-04.
  3. Postcholecystectomy hemobilia: Enjoying a renaissance in the laparoscopic era? Aust NZJ Surg 1995;65:185-88.
  4. Recurrent hemobilia after laparoscopic cholecystectomy. Surg Laparosc Endosc 1994;4:375-77.
  5. Right hepatic artery pseudoaneurysm after laparoscopic cholecystectomy. Am J Gastroenterol 1997;92:528-29.
  6. Treatment of right hepatic artery injury by percutaneous embolization. Lancet 1994;344:1306-07.
  7. False aneurysm of a hepatic artery branch and a recurrent subfrenic abscess. Surg Endosc 1996;10:161-63.
  8. Cystic artery pseudoaneurysm as a complication of laparoscopic cholecystectomy. Abdom Imaging 1995;20:75-77.
  9. Hemobilia complicating elective laparoscopic cholecystectomy: A case report. Can J Surg 1996;39:240-42.
  10. Hepatic artery pseudoaneurysm following laparoscopic cholecystectomy: Transcatheter intraarterial embolization. Hepatogastroenterology 1996;43:1343-46.
  11. Hepatic artery pseudoaneurysm and hemobilia following laparoscopic cholecystectomy. Indian J Gastroenterol 1997;16:32-33.
  12. Hemobilia due to hepatic Artery Pseudoaneurysm Thirteen Months After Laparoscopic Cholecystectomy. J Clin Gastroenterol 1998;26:50-53.
  13. Hepatic Artery Angiography and Embolization for Hemobilia Following Laparoscopic Cholecystectomy. Cardiovasc Intervent Radiol 1999;22:20-2. doi: 10.1007/ s002709900323.
  14. Treatment of laparoscopic cholecystectomy complication of hemobilia by selective arterial embolization. Turk J Gastroenterol 2001;12:308-10.
  15. False Aneurysm of the Hepatic Artery after Laparoscopic Cholecystectomy. Acta chir belg 2002;102:459-63.
  16. An unusual presentation of hepatic aneurysm as a complication of laparoscopic cholecystectomy. Eur J Surg 2002;168:566-68.
  17. Hepatic artery pseudoaneurysm following laparoscopic cholecystectomy. Pediatr Radiol 2003;33:24-26.
  18. Pseudoaneurysm of the hepatic artery after laparoscopic cholecystectomy: A case report. J Min Access Surg 2006;2:73-75.
  19. Right Hepatic Artery Pseudoaneurysm Thirteen Months Following Laparoscopic Cholecystectomy. EJVES Extra 2007;13:1-3 doi: 10.1016/j.ejvesextra.2006.09.005.
  20. Pseudoaneurysm following laparoscopic cholecystectomy. Hepatobiliary Pancreat Dis Int 2007;6:294-98.
  21. Fistula Between Cystic Artery Pseudoaneurysm and Cystic Bile Duct Cause of Acute Anemia One Year After Laparoscopic Cholecystectomy. J Laparoendosc Adv Surg 2007;16:609-12. doi: 10.1089/lap.2006.16.609.
  22. Vascular emergencies in cholelithiasis and cholecystectomy: Our experience with two cases and literature review. Hepatobiliary Pancreat Dis Int 2008;7:217-20.
  23. Hemobilia and Cystic Artery Stump Pseudoaneurysm Associated with Liver Abscess After a Laparoscopic Cholecystectomy. Surg Today 2008;38:567-71.
  24. Hepatic artery pseudoaneurysm following laparoscopic cholecystectomy. Am J Surg 2010;199:e10-e1. doi: 10.1016/j.amjsurg.2009.03.014.
  25. Laparoscopic Management of Massive Hemobilia From an Intrahepatic Aneurysm. JSLS 2009;13:60-63.
  26. Hepatic artery angiography and embolization for hemobilia after hepatobiliary surgery. Chin Med J 2001;114:803-06.
  27. A rare complication of a common operation : Hepatic artery pseudo aneurysm following cholecystectomy report of a case. Ir J Med Sci 2008;177:397-98.
  28. Pseudoaneurysmal Rupture of the Common Hepatic Artery into the Biliodigestive Anastomosis. A Rare Cause of Gastrointestinal Bleeding. JOP. J Pancreas 2009;10:441-44.
  29. A severe case of hemobilia and biliary fistula following an open urgent cholecystectomy. World J Emerg Surg 2009;4:37doi: 10.1186/ 1749-7922-4-37.
  30. Hémobilie par pseudoanéurysme de la branche droite de l'artère hépatique après cholécystectomie coelioscopique. Gastroenterol Clin Biol 2003;27:341-43.
  31. Pseudoaneurysm of the cystic artery secondary to cholecystitis as a cause of hemobilia: Report of a case. Surg Today 2007;37:412-17.
  32. Acute cholecystitis with massive upper gastrointestinal bleed: A case report and review of the literature. BMC Gastroenterol 2007;7:12 doi:10.1186/1471-230X-7-12.
  33. CT of acute lower GI bleeding in chronic cholecystitis: Concomitant pseudoaneurysm of cystic artery. Clin Radiol 2006;61:634-36.
  34. Variations de la temperature intrapéritonéale au cours de la cholécystectomie laparoscopique. Ann Chir 2000;125:253-62.
  35. Use of the ultrasonic dissecting scalpel in laparoscopic cholecystectomy. Surg Endosc 2000;14:1070-73.
  36. Ultrasonic dissection versus electrocautery in laparoscopic cholecystectomy. Br J Surg 2003;90:799-803. doi: 10.1002/bjs.4128.
  37. Ultrasonic and Nonultrasonic Instrumentation. A Systematic Review and Meta-analysis. Arch Surg 2008;143:592-600.
  38. Right hepatic artery branching off the superior mesenteric artery. IJAV 2009;143-45.
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