Hemobilia Due to an Iatrogenic Arteriobiliary Fistula Complicating Laparoscopic Cholecystectomy: A Case Report  

作　　者：Hicham El Bouhaddouti Khalid Mazine Abdesslam Bouassria Ouadii Mouaqit Elbachir Benjelloun Abdelmalek Ousadden Khalid Ait Taleb 

机构地区：[1]Department of Visceral Surgery, Faculty of Medicine and Pharmacy of Fez, University Hospital Hassan II—Fes, Sidi Mohamed Ben Abdellah University, Fez, Morocco

出　　处：《Open Journal of Gastroenterology》2014年第6期275-278,共4页肠胃病学期刊（英文）

摘　　要：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.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.

关 键 词：HEMOBILIA GASTROINTESTINAL BLEEDING ARTERIOGRAPHY 

分 类 号：R73[医药卫生—肿瘤]