Post-cholecystectomy haemobilia: enjoying a renaissance in the laparoscopic era?
Trauma to the right hepatic artery during biliary surgery can lead to false aneurysm formation. Subsequent rupture into the biliary system, which may occur after a considerable delay, will then result in major haemobilia. This report details five cases referred to the Royal Melbourne Hospital over a 12 month period, four of which followed initial laparoscopic procedures, and emphasizes important management procedures to prevent and treat this previously rare complication.
Stewart
B T
BT
Department of Surgery and Radiology, Royal Melbourne Hospital, Parkville, Victoria, Australia.
Abraham
R J
RJ
Thomson
K R
KR
Collier
N A
NA
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology; D015901:Angiography, Digital Subtraction; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D005260:Female; D006431:Hemobilia / Q000209:etiology*; D006499:Hepatic Artery / Q000000981:diagnostic imaging / Q000293:injuries; D006801:Humans; D008297:Male; D008875:Middle Aged