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

BMC Surgery
Mawaddah AlrajrajiMurad Aljiffry

Abstract

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

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Citations

May 7, 2020·Surgical Case Reports·Takehiro AbikoSatoshi Hirano
May 29, 2021·Journal of Minimal Access Surgery·Charalampos LampropoulosIoannis Kehagias

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