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Related Experiment Videos

Hemobilia.

O Dogru1, Z Cetinkaya, N Bulbuller

  • 1General Surgery Department, Firat University School of Medicine, 23200 Elazig, Turkey, odogru@firat.edu.tr

Surgical Endoscopy
|June 18, 2003
PubMed
Summary
This summary is machine-generated.

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A rare complication of laparoscopic cholecystectomy, hemobilia, can cause gastrointestinal bleeding months after surgery. Prompt diagnosis and repair of arterial injury are crucial for patient recovery.

Area of Science:

  • Gastroenterology
  • Hepatobiliary Surgery
  • Minimally Invasive Surgery

Background:

  • Laparoscopic cholecystectomy is a common procedure with known risks.
  • Vascular injuries, including hepatic and cystic artery damage, are potential complications.
  • Hemobilia is a rare but significant pathology resulting from arterial injury.

Observation:

  • A 62-year-old woman presented with upper gastrointestinal bleeding six months post-laparoscopic cholecystectomy.
  • Abdominal ultrasonography revealed a subhepatic lesion with a metallic object.
  • Gastroduodenoscopy showed fresh blood and a clot at the papilla of Vateri.

Findings:

  • Laparotomy confirmed hemobilia as the cause of bleeding.
  • An injured hepatic artery with a pseudoaneurysm was identified and repaired.

Related Experiment Videos

  • The metallic object likely represented a surgical clip or instrument fragment.
  • Implications:

    • Hemobilia can manifest as a late complication of laparoscopic cholecystectomy.
    • Arterial pathology should be considered in cases of bile duct injury.
    • Early recognition and surgical intervention are vital for managing hemobilia.