A Case of Massive Hemobilia after Laparoscopic Cholecystectomy.
- Author:
Woo Jung SIM
1
;
Yong Keum PARK
;
Kyong Choun CHI
;
Jung Hyo LEE
;
In Taik CHANG
;
Sang Jhoon KIM
Author Information
1. Department of Surgery, School of Medicine, Chung Ang University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Laparoscopic cholecystectomy;
Hemobilia
- MeSH:
Aneurysm, False;
Bile Ducts;
Biliary Tract;
Cholecystectomy, Laparoscopic*;
Cholelithiasis;
Hemobilia*;
Hemorrhage;
Hepatic Artery;
Liver
- From:Journal of the Korean Surgical Society
1999;57(2):299-303
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
"Hemobilia" upper gastrointestinal bleeding that originates from within the biliary tract, is a rare complication of the laparoscopic cholecystectomy. Only a few cases have been reported in the literature. It is more common in accidential or iatrogenic injury of the liver and bile ducts, even occurring spontaneously in cholelithiasis, several inflamatory processes, and vascular and neoplastic changes. The laparoscopic cholecystectomy is a recently developed and advanced surgical procedure that has rapidly gained acceptance. Its complications remain to be clinically analyzed. The authors experienced a case of massive hemobilia after a laparoscopic cholecystectomy. A 54-years-old man with hemobila resulting from right hepatic artery pseudoaneurysm communicating with the intra-hepatic bile duct was treated with angiographic tanscatheter embolization on the of 24th postoperative day. We report this case with a brief review of the literature.
