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Post-cholecystectomy haemobilia: enjoying a renaissance in the laparoscopic era?
B T Stewart1, R J Abraham, K R Thomson
1Department of Surgery and Radiology, Royal Melbourne Hospital, Parkville, Victoria, Australia.
Abstract:
Trauma to the right hepatic artery during biliary surgery can lead to false aneurysm formation. Subsequent rupture into the biliary system, which may occur after a considerable delay, will then result in major haemobilia. This report details five cases referred to the Royal Melbourne Hospital over a 12 month period, four of which followed initial laparoscopic procedures, and emphasizes important management procedures to prevent and treat this previously rare complication.

