[Hemobilia due to pseudoaneurysm of the right hepatic artery following laparoscopic cholecystectomy].
Although laparoscopic cholecystectomy is considered to be the gold standard for treatment for symptomatic cholelithiasis, it is associated with an increased risk of biliary and vascular injury compared to the traditional technique. We report the case of a 36-year-old woman with haemobilia secondary to a pseudoaneurysm of the right branch of the hepatic artery, that occurred two months after laparoscopic cholecystectomy. The patient was successfully treated with embolisation of the right hepatic artery. Hemobilia is a rare complication that should considered when managing patients with bleeding or jaundice even several months after laparoscopic cholecystectomy.
Iannelli
Antonio
A
Service de Chirurgie Digestive et Transplantation Hépatique, Hôpital Archet 2, Université Sophia Antipolis, 151, route Saint-Antoine-de-Ginestière, BP 3079, Nice Cedex 3.
Karimdjee
Babou Soilihi
BS
Fabiani
Pascal
P
Benizri
Emmanuel Isaac
EI
Converset
Sophie
S
Medjoubi
Sid Ali
SA
Bornet
Pierre
P
Gugenheim
Jean
J
D000208:Acute Disease; D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D000792:Angiography; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D002764:Cholecystitis / Q000601:surgery; D004621:Embolization, Therapeutic; D005260:Female; D006396:Hematemesis / Q000209:etiology; D006431:Hemobilia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006499:Hepatic Artery / Q000293:injuries*; D006801:Humans; D007049:Iatrogenic Disease
Hémobilie par pseudoanévrysme de la branche droite de l'artère hépatique après cholécystectomie coelioscopique.