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Haemobilia due to iatrogenic portobiliary fistula after cholecystectomy

A R Hurtarte-Sandoval1, B J Flores-Robles, J D Penate-Dardón

  • 1Department of Nephrology, Reina Sofia Hospital, Córdoba, Spain. aldohurtarte12@hotmail.com

BMJ Case Reports
|May 24, 2013
PubMed

Haemobilia, defined as bleeding into the biliary tree is a rare condition. We describe a case report of a patient who presented it as a complication of iatrogenic portobiliary fistula, followed after an open cholecystectomy. The patient presented to the emergency department with late onset symptoms of haematemesis and melena a month after surgery. Findings were confirmed by Doppler ultrasound that showed the appearance of intragallbladder mass with high echogenicity representing a blood clot. Also, next to the portal vein and the biliary duct a lesion with mixed blood flow was detected confirming a portobiliary fistula. This case was successfully managed by angiography and selective embolisation.

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