title: [Massive hemobilia caused by erosion of the hepatic artery by cholelithiasis with cholecysto-duodenal fistula].
abstract: The authors present a case of gastrointestinal haemorrhage due to erosion of the hepatic artery by a gallstone trapped in the neck of the gallbladder. The unusual feature of this case resides in the exteriotisation of this haemorrhage via two anatomical routes: in the form of heamobilia via the common bile duct and in the form of gastrointestinal haemorrhage via a cholecysto-duodenal fistula. Haemostasis was achieved by ligation of the hepatic artery after failure of direct repair.
authors.forename: P
authors.initials: P
authors.lastname: Bloch
authors.forename: H
authors.initials: H
authors.lastname: Gompel
authors.forename: P
authors.initials: P
authors.lastname: Modiano
authors.forename: M
authors.initials: M
authors.lastname: Hamdam
mesh_terms: D000368:Aged; D001658:Biliary Fistula / Q000150:complications*; D002769:Cholelithiasis / Q000150:complications*; D003137:Common Bile Duct Diseases / Q000150:complications; D004378:Duodenal Diseases / Q000150:complications; D004621:Embolization, Therapeutic; D005260:Female; D005402:Fistula / Q000150:complications; D006431:Hemobilia / Q000209:etiology* / Q000628:therapy; D006499:Hepatic Artery / Q000473:pathology; D006801:Humans
vernacular_title: Hémobilie massive due à l'érosion de l'artère hépatique par une lithiase vésiculaire avec fistule cholécysto-duodénale.