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Case Reports in Gastrointestinal MedicineVolume 2011 2011, Article ID 925142, 5 pages

Case Report

General Surgery and Videolaparoscopy Department, Niguarda Hospital, Piazza Ospedale Maggiore 3, 20162 Milano, Italy

Service of Interventional Radiology, Niguarda Hospital, Piazza Ospedale Maggiore 3, 20162 Milano, Italy

Service of Gastroenterology and Digestive Endoscopy, Niguarda Hospital, Piazza Ospedale Maggiore 3, 20162 Milano, Italy

Received 14 May 2011; Accepted 6 July 2011

Academic Editors: E. Altintas, A. Imagawa, and C. T. Shun

Copyright © 2011 Fabio Sansonna et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.





Autor: Fabio Sansonna, Stefano Boati, Raffella Sguinzi, Carmelo Migliorisi, Francesco Pugliese, and Raffaele Pugliese

Fuente: https://www.hindawi.com/



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