A Case of Massive Hemobilia after a Long Period of Time Since Open Cholecystectomy.
10.15279/kpba.2014.19.1.42
- Author:
Jee Sun JEONG
1
;
Young Ook EUM
;
Ji Hye JANG
;
Hyun YANG
;
Eun CHUNG
;
Hyun Seon KIM
;
Il Hun BAE
;
Seon Mee PARK
Author Information
1. Department of Internal Medicine, Catholic University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Hemobilia;
Cholecystectomy;
Bile duct injury
- MeSH:
Aged;
Aneurysm, False;
Angiography;
Bile Ducts;
Blood Vessels;
Cholecystectomy*;
Common Bile Duct;
Duodenoscopy;
Female;
Fistula;
Hemobilia*;
Hepatic Artery;
Humans;
Melena;
Surgical Instruments
- From:Korean Journal of Pancreas and Biliary Tract
2014;19(1):42-46
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 77-year-old woman was admitted with 5 days history of melena. She had an open cholecystectomy 30 years ago. Abdominal computed tomography and duodenoscopy revealed massive hemobilia. Angiography showed right hepatic arterial fistula to common bile duct near the surgical clip. Embolization was done successfully and the patient recovered. We experienced a case of a massive hemobilia which was occurred after a long period of time since open cholecystectomy without pseudoaneurysmal change of the right hepatic artery. And we suggest the direct vessel injury and fistula between the bile duct and a blood vessel as a possible cause of hemobilia in this case.
