[Massive hemobilia caused by erosion of the hepatic artery by cholelithiasis with cholecysto-duodenal fistula].
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.
Bloch
P
P
Gompel
H
H
Modiano
P
P
Hamdam
M
M
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
Hémobilie massive due à l'érosion de l'artère hépatique par une lithiase vésiculaire avec fistule cholécysto-duodénale.