title: Delayed hemobilia due to hepatic artery pseudo-aneurysm: a pitfall of laparoscopic cholecystectomy.
abstract: BACKGROUND
  Hepatic artery pseudoaneurysm as a complication of laparoscopic cholecystectomy is considered a rare, potentially life threatening condition.
  
  
  METHODS
  We report a case of late onset hemobilia presenting 8 months following elective laparoscopic cholecystectomy with complex biliary and vascular injury. The patient was treated surgically with primary repair of the aneurysm and hepaticojujenostomy.
  
  
  CONCLUSIONS
  A high index of suspicion should be raised when encountering a patient with massive upper GI bleeding and a previous history of hepatobiliary manipulation or surgery regardless of postoperative period.
authors.affiliation: Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
authors.forename: Mawaddah
authors.initials: M
authors.lastname: Alrajraji
authors.affiliation: Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
authors.forename: Abrar
authors.initials: A
authors.lastname: Nawawi
authors.affiliation: Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
authors.forename: Reda
authors.initials: R
authors.lastname: Jamjoom
authors.affiliation: Department of Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
authors.forename: Yousef
authors.initials: Y
authors.lastname: Qari
authors.affiliation: Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia. dr.aljiffry@gmail.com.
authors.forename: Murad
authors.initials: M
authors.lastname: Aljiffry
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000209:etiology*; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D002764:Cholecystitis / Q000601:surgery; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006431:Hemobilia / Q000209:etiology*; D006499:Hepatic Artery; D006801:Humans