Mawaddah Alrajraji1, Abrar Nawawi1, Reda Jamjoom1, Yousef Qari2, Murad Aljiffry3. 1. Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia. 2. Department of Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia. 3. Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia. dr.aljiffry@gmail.com.
Abstract
BACKGROUND: Hepatic artery pseudoaneurysm as a complication of laparoscopic cholecystectomy is considered a rare, potentially life threatening condition. CASE PRESENTATION: We report a case of late onset hemobilia presenting 8 months following elective laparoscopic cholecystectomy with complex biliary and vascular injury. The patient was treated surgically with primary repair of the aneurysm and hepaticojujenostomy. CONCLUSION: A high index of suspicion should be raised when encountering a patient with massive upper GI bleeding and a previous history of hepatobiliary manipulation or surgery regardless of postoperative period.
BACKGROUND:Hepatic artery pseudoaneurysm as a complication of laparoscopic cholecystectomy is considered a rare, potentially life threatening condition. CASE PRESENTATION: We report a case of late onset hemobilia presenting 8 months following elective laparoscopic cholecystectomy with complex biliary and vascular injury. The patient was treated surgically with primary repair of the aneurysm and hepaticojujenostomy. CONCLUSION: A high index of suspicion should be raised when encountering a patient with massive upper GI bleeding and a previous history of hepatobiliary manipulation or surgery regardless of postoperative period.