title: [Delayed right hepatic artery haemorrhage after iatrogenic gallbladder by laparoscopic cholecystectomy that required a liver transplant due to acute liver failure: clinical case and review of the literature].
abstract: BACKGROUND
  Right hepatic artery (RHA) injury after laparoscopic cholecystectomy (LC) may go unnoticed clinically, but can sometimes cause necrosis of the right lobe. Exceptionally, when the necrosis spreads to segment IV, fulminant liver failure (FLF) may occur, and an urgent liver transplantation (LT) may be required.
  
  
  METHODS
  We provide a review of the literature on patients with indication for an LT due to vascular damage caused by bile duct injury following LC. The case reported herein is the fourth described in the specialized literature of LT due to RHA injury after LC and the second of FLF after RHA injury.
  
  
  RESULTS
  LT due to RHA injury was performed in 3 of 13 patients reported in the literature: one LT was performed at 3 months due to FLF, after an extended right hepatectomy was performed, and the remaining two were performed due to secondary biliary cirrhosis. Our patient was transplanted due to FLF 15 days after the injury.
  
  
  CONCLUSIONS
  RHA injury after LC may require LT due to FLF. Although exceptional, this possibility should be considered when there are RHA complications that may require occlusion.
authors: Unidad de Cirugía Hepática y Transplante Hepático, Hospital Universitario Virgen de la Arrixaca, El Palmar, Murcia, Spain. rirocam@um.es
authors: Ricardo
authors: R
authors: Robles Campos
authors: Caridad
authors: C
authors: Marín Hernández
authors: Juan Angel
authors: JA
authors: Fernández Hernández
authors: Francisco
authors: F
authors: Sanchez Bueno
authors: Pablo
authors: P
authors: Ramirez Romero
authors: Patricia
authors: P
authors: Pastor Perez
authors: Pascual
authors: P
authors: Parrilla Paricio
mesh_terms: D000328:Adult; D017081:Cholecystectomy, Laparoscopic; D003135:Common Bile Duct / Q000293:injuries*; D006470:Hemorrhage / Q000209:etiology*; D006499:Hepatic Artery / Q000293:injuries*; D006801:Humans; D007049:Iatrogenic Disease; D017114:Liver Failure, Acute / Q000209:etiology* / Q000601:surgery*; D016031:Liver Transplantation; D008297:Male; D013997:Time Factors