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Year : 2015  |  Volume : 3  |  Issue : 2  |  Page : 53-55

Massive hemobilia in a case of hepatic artery pseudoaneurysm: A rare complication after open cholecystectomy

Department of General Surgery, IPGMER and SSKM Hospital, Kolkata, West Bengal, India

Correspondence Address:
Bappaditya Har
Room No 230, New PG Hostel, SGPGIMS, Rae Bareilly Road, Lucknow, Uttar Pradesh - 226 014
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2320-3846.175209

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Background: Hepatic arterial pseudoaneurysm with hemobilia occurs less frequently as a complication of open cholecystectomy than laparoscopic cholecystectomy; however, given its severe nature, it needs to be managed promptly. Patient should be evaluated with high index of suspicion, presenting with post cholecystectomy pain with jaundice. They should be treated with angiographic coil embolization of hepatic arteries as a first line management, which is successful in the majority of bleedings: in a minority of cases, even a laparotomy is needed. However, proper use of electrocautery may decrease the occurane of psedoaneurysm. Case Presentation: Here we present a case history of a 50 years old female presenting with massive hematochezia & jaundice with hemodynamic instability, 3 months following open cholecystectomy due to leaking pseudoanurysm from right hepatic artert & treated successfully with angiographic coil embolisation.

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