All Title Author
Keywords Abstract


Hemobilia Due to an Iatrogenic Arteriobiliary Fistula Complicating Laparoscopic Cholecystectomy: A Case Report

DOI: 10.4236/ojgas.2014.46040, PP. 275-278

Keywords: Hemobilia, Gastrointestinal Bleeding, Arteriography

Full-Text   Cite this paper   Add to My Lib

Abstract:

Hemobilia is the result of a pathological communication between bile duct and intra or extrahepatic vessel. 40% to 60% of the haemobilia cases are Iatrogenic, and the other causes are either vascular malformations or hepatic blunt trauma. We describe the case history of a patient in which laparoscopic cholecystectomy was complicated 3 months later by massive hemobilia. The cause of haemorrhage was a fistula between the principal bil duct and the right hepatic artery. This complication was successfully managed by surgery and angiographic embolization with full recovery of the patient.

References

[1]  Echarrab, M., Medarheri, J., Elounani, M., Louchi, A., Balafrej, S., Amraoui, M., Errougani, A., Benchekroun, A. and Chkoff, R. (2000) Hemobilia: Which Treatement? about an Observation, and Literature Review. Medecine du Maghreb.
[2]  Sansonna, F., Boati, S., Sguinzi, R., Migliorisi, C., Pugliese, F. and Pugliese, R. (2011) Severe Hemobilia from Hepatic Artery Pseudoanevrysm. Case Rep Gastrointest Med, 2011, Article Number: 925142.
[3]  Petrou, A., Brennan, N., Soonawalla, Z. and Anthony Silva, M. (2012) Hemobilia Due to Cystic Artery Stump Pseudoaneurysm Following Laparoscopic Cholecystectomy: Case Presentation and Literature Review. United Kingdom Int Surg, 97, 140-144.
[4]  Green, M.H.A., Johnson, C.D. and Jamieson, N.V. (2001) Haemobilia. British Journal of Surgery, 88, 773-786.
http://dx.doi.org/10.1046/j.1365-2168.2001.01756.x
[5]  Peters, J.H., Ellison, E.C., Innes, J.T., Liss, J.L., Nichols, K.E., Lomano, J.M., et al. (1991) Safety and Efficacy of Laparoscopic Cholecystectomy: A Prospectiveanalysis of 100 Initial Patients. Annals of Surgery, 213, 3-12.
http://dx.doi.org/10.1097/00000658-199101000-00002
[6]  Madanur, M.A., Battula, N., Sethi, H., Deshpande, R., Heaton, N. and Rela, M. (2007) Pseudoaneurysm Following Laparoscopic Cholecystectomy. Hepatobiliary & Pancreatic Diseases International, 6, 294-298.
[7]  England, R.E., Marsh, P.J., Ashleigh, R. and Martin, D.F. (1998) Pseudoaneurysm of the Cystic Artery: A Rare Cause of Hemobilia. Clinical Radiology, 53, 72-75.
http://dx.doi.org/10.1016/S0009-9260(98)80041-X
[8]  Maurel, J., Aouad, K., Martel, B., Segol, P. and Gignoux, M. (1994) Traumatic Hemobilia. Witch Treatment? A Cae Report. Annales de Chirurgie, 48, 572-575.
[9]  Mangiante, E.C., Pritchard, E. and Fabian, T.C. (1998) Traumatic Hemobilia: Aetiology, Diagnosis and Management (Clinical Conference). J. Tenu. Med. Asoc, 81, 575-577.

Full-Text

comments powered by Disqus