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Updated: Jan 26, 2026

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
Published on: May 2, 2025
Hemorrhagic cholecystitis causing hemobilia and common bile duct obstruction
Andrew Sweeny1, Nathan A Smith2, Jennifer A Serfin2
1General Surgery Residency Program, Good Samaritan Regional Medical Center, Corvallis, OR 97330, USA.
Abstract:
Biliary obstruction is a common problem associated with gallbladder pathology. However, hemorrhagic cholecystitis with hemobilia as the cause is quite rare. We present a case of hemorrhagic cholecystitis in the setting of systemic anticoagulation causing common bile duct obstruction which required endoscopic retrograde cholangiopancreatography (ERCP) for ductal clearance followed by laparoscopic cholecystectomy. The triad of right upper quadrant abdominal pain, jaundice and gastrointestinal bleed should prompt consideration of hemobilia in the setting of biliary obstruction.
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