OJGas  Vol.4 No.6 , June 2014
Hemobilia Due to an Iatrogenic Arteriobiliary Fistula Complicating Laparoscopic Cholecystectomy: A Case Report
Hemobilia is the result of a pathological communication between bile duct and intra or extrahepatic vessel. 40% to 60% of the haemobilia cases are Iatrogenic, and the other causes are either vascular malformations or hepatic blunt trauma. We describe the case history of a patient in which laparoscopic cholecystectomy was complicated 3 months later by massive hemobilia. The cause of haemorrhage was a fistula between the principal bil duct and the right hepatic artery. This complication was successfully managed by surgery and angiographic embolization with full recovery of the patient.

Cite this paper
El Bouhaddouti, H. , Mazine, K. , Bouassria, A. , Mouaqit, O. , Benjelloun, E. , Ousadden, A. and Taleb, K. (2014) Hemobilia Due to an Iatrogenic Arteriobiliary Fistula Complicating Laparoscopic Cholecystectomy: A Case Report. Open Journal of Gastroenterology, 4, 275-278. doi: 10.4236/ojgas.2014.46040.
[1]   Echarrab, M., Medarheri, J., Elounani, M., Louchi, A., Balafrej, S., Amraoui, M., Errougani, A., Benchekroun, A. and Chkoff, R. (2000) Hemobilia: Which Treatement? about an Observation, and Literature Review. Medecine du Maghreb.

[2]   Sansonna, F., Boati, S., Sguinzi, R., Migliorisi, C., Pugliese, F. and Pugliese, R. (2011) Severe Hemobilia from Hepatic Artery Pseudoanevrysm. Case Rep Gastrointest Med, 2011, Article Number: 925142.

[3]   Petrou, A., Brennan, N., Soonawalla, Z. and Anthony Silva, M. (2012) Hemobilia Due to Cystic Artery Stump Pseudoaneurysm Following Laparoscopic Cholecystectomy: Case Presentation and Literature Review. United Kingdom Int Surg, 97, 140-144.

[4]   Green, M.H.A., Johnson, C.D. and Jamieson, N.V. (2001) Haemobilia. British Journal of Surgery, 88, 773-786.

[5]   Peters, J.H., Ellison, E.C., Innes, J.T., Liss, J.L., Nichols, K.E., Lomano, J.M., et al. (1991) Safety and Efficacy of Laparoscopic Cholecystectomy: A Prospectiveanalysis of 100 Initial Patients. Annals of Surgery, 213, 3-12.

[6]   Madanur, M.A., Battula, N., Sethi, H., Deshpande, R., Heaton, N. and Rela, M. (2007) Pseudoaneurysm Following Laparoscopic Cholecystectomy. Hepatobiliary & Pancreatic Diseases International, 6, 294-298.

[7]   England, R.E., Marsh, P.J., Ashleigh, R. and Martin, D.F. (1998) Pseudoaneurysm of the Cystic Artery: A Rare Cause of Hemobilia. Clinical Radiology, 53, 72-75.

[8]   Maurel, J., Aouad, K., Martel, B., Segol, P. and Gignoux, M. (1994) Traumatic Hemobilia. Witch Treatment? A Cae Report. Annales de Chirurgie, 48, 572-575.

[9]   Mangiante, E.C., Pritchard, E. and Fabian, T.C. (1998) Traumatic Hemobilia: Aetiology, Diagnosis and Management (Clinical Conference). J. Tenu. Med. Asoc, 81, 575-577.