title: Severe hemobilia from hepatic artery pseudoaneurysm.
abstract: Background. Hemobilia is a rare, jeopardizing complication of laparoscopic cholecystectomy coming upon usually within 4 weeks after surgery. The first-line management is angiographic coil embolization of hepatic arteries, which is successful in the majority of bleedings: in a minority of cases, a second embolization or even laparotomy is needed. Case Presentation. We describe the case history of a patient in which laparoscopic cholecystectomy was complicated 3 weeks later by massive hemobilia. The cause of haemorrhage was a pseudoaneurysm of a right hepatic artery branching off the superior mesenteric artery; this complication was successfully managed by one-stage angiographic embolization with full recovery of the patient.
authors.affiliation: General Surgery and Videolaparoscopy Department, Niguarda Hospital, Piazza Ospedale Maggiore 3, 20162 Milano, Italy.
authors.forename: Fabio
authors.initials: F
authors.lastname: Sansonna
authors.forename: Stefano
authors.initials: S
authors.lastname: Boati
authors.forename: Raffella
authors.initials: R
authors.lastname: Sguinzi
authors.forename: Carmelo
authors.initials: C
authors.lastname: Migliorisi
authors.forename: Francesco
authors.initials: F
authors.lastname: Pugliese
authors.forename: Raffaele
authors.initials: R
authors.lastname: Pugliese