Case report: acute pancreatitis caused by postcholecystectomic hemobilia.
BACKGROUND
Hemobilia is a rare cause of upper GI bleeding and the reasons for the majority of the cases are iatrogenic. It is also one of the rarest vascular complication following laparoscopic cholecystectomy but acute pancreatitis due to postcholecystectomic hemobilia as a late complication of cholecystectomy is not yet described.


METHODS
We presented the case of a 32-year-old female, admitted to our emergency surgery clinic with hematemesis, jaundice and abdominal pain who had a history of laparoscopic cholecystectomy 4 months ago. Patient was diagnosed as acute pancreatitis and obstructive jaundice caused by postcholecystectomic hemobilia. Afterwards she is successfully treated by ERCP, angiographic identification and embolization of right hepatic artery pseudoaneurysm.


CONCLUSIONS
We presented that postcholecystectomic hemobilia may cause acute pancreatitis and acute pancreatitis caused by postcholecystectomic hemobilia should also be included to the rare complications which may occur following cholecystectomy.
Alis
Halil
H
Department of General Surgery, Bakirkoy Dr Sadi Konuk Train And Research Hospital, Tevfik Saglam Road, Istanbul, Turkey. halilalis@gmail.com
Bozkurt
Mehmet A
MA
Oner
Osman Z
OZ
Dolay
Kemal
K
Turhan
Ahmet N
AN
Uçar
Adem
A
Inci
Ercan
E
Aygun
Ersan
E
D000208:Acute Disease; D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D004621:Embolization, Therapeutic; D005260:Female; D006431:Hemobilia / Q000150:complications* / Q000209:etiology*; D006801:Humans; D010195:Pancreatitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D016896:Treatment Outcome