[Pseudoaneurysm of the hepatic artery presenting with hemobilia--a complication of laparoscopic cholecystectomy].
BACKGROUND
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.


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.


CONCLUSIONS
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.


CONCLUSIONS
Melena or hematemesis after recent laparoscopic cholecystectomy should be always suspicious from hepatic artery and/or bile duct injuries, manifesting with hemobilia.
Schwarzmannová
K
K
Chirurgické oddĕlení Oblastní nemocnice Kolín.
Poch
T
T
Simsa
J
J
Vidim
T
T
Chudomel
P
P
Volsanský
P
P
Kasík
S
S
Chochola
M
M
D000368:Aged; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology*; D001649:Bile Duct Diseases / Q000209:etiology; D017734:Bile Ducts, Extrahepatic / Q000293:injuries; D001658:Biliary Fistula / Q000209:etiology; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D006431:Hemobilia / Q000209:etiology*; D006499:Hepatic Artery / Q000293:injuries*; D006801:Humans; D008297:Male; D016157:Vascular Fistula / Q000209:etiology