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General Surgery: Open Access

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Hemobilia from rupture of pseudoaneurysm on right hepatic artery after cholecystectomy - a case report

Author(s): Fadi Rayya*, Muhammad Ghanem, Alaa Ahmad and Taisser Almeree

Background: Iatrogenic etiologies are currently the leading causes of hemobilia, which is a life-threatening case.

Case presentation: We present a case of hemobilia after laparoscopic cholecystectomy in which an injury to the biliary system happened, and then the patient had the clinical descriptive triad of hemobilia "Quinke triad" which includes pain, gastrointestinal bleeding and jaundice. Gastrointestinal endoscopy led us to think of hemobilia; using angiography we discovered a pseudoaneurysm on the right hepatic artery. Our expert emobolized the aneurysm using the interventional radiology, the patient was fully recovered.

Results: Regardless of the date of surgery, thinking of hemobilia as a complication after a cholecystectomy in the complains of any patient of gastrointestinal bleeding is considered. It is essential to have an upper gastrointestinal endoscopy. Initial management includes an appropriate resuscitation with IV fluids. Angiographic CT might be useful to locate the source of the bleeding for early and appropriate targeted therapy.

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