Pseudoaneurysm of the Hepatic Artery Presenting with Hemobilia – a Complication of Laparoscopic Cholecystectomy
Authors:
K. Schwarzmannová 1; T. Poch 1; J. Šimša 1; T. Vidim 1; P. Chudomel 1; P. Volšanský 2; S. Kašík 3; M. Chochola 4
Authors‘ workplace:
Chirurgické oddělení Oblastní nemocnice Kolín, a. s., primář: doc. MUDr. J. Šimša, Ph. D.
1; Endoskopické centrum Oblastní nemocnice Kolín, a. s., primář: MUDr. P. Volšanský
2; Radiodiagnostické oddělení Oblastní nemocnice Kolín, a. s., primář: MUDr. S. Kašík
3; Angiocentrum Kolín, a. s., vedoucí lékař: MUDr. P. Kudrna
4
Published in:
Rozhl. Chir., 2008, roč. 87, č. 7, s. 360-363.
Category:
Monothematic special - Original
Overview
Introduction:
Hemobilia, defined as a bleeding into the bile duct, is a rare disease. One of its infrequent causes is a hepatic artery pseudoaneurysm, usually developed after arterial iatrogenic leasion.
Material and methods:
A case review, presenting right hepatic artery pseudoaneurysm with a biliovascular fistula as a consequence of hepatic artery and bile duct injuries during „uncomplicated“ laparoscopic cholecystectomy.
Discussion:
Bile duct injury is one of the most serious complication after laparoscopic cholecystectomy. Hepatic artery may be injured simultaneously, resulting in the pseudoaneurysm and/or biliovascular fistula, presenting with hemobilia. Time interval from the injury to symptoms widely varies from few hours to weeks or even several months.
Conclusion:
Melena or hematemesis after recent laparoscopic cholecystectomy should be always suspicious from hepatic artery and/or bile duct injuries, manifesting with hemobilia.
Key words:
laparoscopic cholecystectomy – complication – pseudoaneurysm – biliovascular fistula – hemobilia – embolisation – stent
Sources
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7. Srinivasaiah, N., Bhojak, M., Jackson, R., et al. Vascular emergencies in cholelithiasis and cholecystectomy: our experiences with two cases and literature review. Hepatobiliary Pancreat. Dis. Int., 2008, 7(2): 217–220.
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Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2008 Issue 7
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