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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.
AuthorsFabio Sansonna, Stefano Boati, Raffella Sguinzi, Carmelo Migliorisi, Francesco Pugliese, Raffaele Pugliese
JournalCase reports in gastrointestinal medicine (Case Rep Gastrointest Med) Vol. 2011 Pg. 925142 ( 2011) ISSN: 2090-6536 [Electronic] United States
PMID22606431 (Publication Type: Case Reports)

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