title: Haemobilia due to iatrogenic portobiliary fistula after cholecystectomy.
abstract: Haemobilia, defined as bleeding into the biliary tree is a rare condition. We describe a case report of a patient who presented it as a complication of iatrogenic portobiliary fistula, followed after an open cholecystectomy. The patient presented to the emergency department with late onset symptoms of haematemesis and melena a month after surgery. Findings were confirmed by Doppler ultrasound that showed the appearance of intragallbladder mass with high echogenicity representing a blood clot. Also, next to the portal vein and the biliary duct a lesion with mixed blood flow was detected confirming a portobiliary fistula. This case was successfully managed by angiography and selective embolisation.
authors.affiliation: Department of Nephrology, Reina Sofia Hospital, Córdoba, Spain. aldohurtarte12@hotmail.com
authors.forename: A R
authors.initials: AR
authors.lastname: Hurtarte-Sandoval
authors.forename: B J
authors.initials: BJ
authors.lastname: Flores-Robles
authors.forename: J D
authors.initials: JD
authors.lastname: Penate-Dardón
authors.forename: A
authors.initials: A
authors.lastname: González-Galilea
mesh_terms: D000328:Adult; D001658:Biliary Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D002763:Cholecystectomy / Q000009:adverse effects*; D004621:Embolization, Therapeutic; D006431:Hemobilia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D011169:Portal Vein; D014463:Ultrasonography