Hemobilia due to cystic artery stump pseudoaneurysm following laparoscopic cholecystectomy: case presentation and literature review

International Surgery
Athanasios PetrouMichael Anthony Silva

Abstract

Hemobilia is the process of bleeding into the biliary tree and is an unusual cause of upper gastrointestinal hemorrhage. When this event results from a cystic artery pseudoaneurysm, it is a particularly rare phenomenon; fewer than 20 cases are described in the literature. Alongside the literature review, we report a case of a 34-year-old woman presenting 3 months post laparoscopic cholecystectomy with hematemesis. Computed tomography (CT) angiography revealed a cystic artery pseudoaneurysm. Following an ineffective hyperselective arterial embolization, the patient was successfully treated by surgical ligation of the right hepatic artery. Even though this complication is uncommon, all surgeons need to be aware of its presentation and of available therapeutic options.

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Citations

Apr 1, 2014·The Surgical Clinics of North America·Minh B Luu, Daniel J Deziel
May 29, 2015·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·J ArendC Bruns
Aug 8, 2017·Vascular and Endovascular Surgery·Richard H TapnioEric Berkowitz
Jun 1, 2017·BMJ Case Reports·Cristina TeixeiraIsabelle Cremers
Mar 30, 2018·BMJ Case Reports·Matta S KuzmanDhanny Gomez
Mar 24, 2017·ACG Case Reports Journal·Ricardo BadilloVladimir M Kushnir
Jan 15, 2016·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Feng WenQi Yong Guo
May 7, 2020·Surgical Case Reports·Takehiro AbikoSatoshi Hirano
Mar 28, 2018·The Indian Journal of Surgery·P R V Praveen Kumar SunkaraSanjay Kumar Dubey
Jun 22, 2019·Annals of Hepato-biliary-pancreatic Surgery·Vikas GuptaRakesh Kochhar
Nov 17, 2020·International Journal of Surgery Case Reports·Ryosuke ArataKazuo Sumimoto
Nov 22, 2020·International Journal of Surgery Case Reports·Amber C TraaArjen L Diederik
May 29, 2021·Journal of Minimal Access Surgery·Charalampos LampropoulosIoannis Kehagias

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