Korean J Pancreas Biliary Tract.  2014 Jan;19(1):42-46. 10.15279/kpba.2014.19.1.42.

A Case of Massive Hemobilia after a Long Period of Time Since Open Cholecystectomy

Affiliations
  • 1Department of Internal Medicine, Catholic University College of Medicine, Seoul, Korea.
  • 2Department of Internal Medicine, Cheongju St. Mary Ospital, Cheongju, Korea. vesal@hanmail.net
  • 3Department of Radiology, Cheongju St. Mary Hospital, Cheongju, Korea.
  • 4Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.

Abstract

A 77-year-old woman was admitted with 5 days history of melena. She had an open cholecystectomy 30 years ago. Abdominal computed tomography and duodenoscopy revealed massive hemobilia. Angiography showed right hepatic arterial fistula to common bile duct near the surgical clip. Embolization was done successfully and the patient recovered. We experienced a case of a massive hemobilia which was occurred after a long period of time since open cholecystectomy without pseudoaneurysmal change of the right hepatic artery. And we suggest the direct vessel injury and fistula between the bile duct and a blood vessel as a possible cause of hemobilia in this case.

Keyword

Hemobilia; Cholecystectomy; Bile duct injury
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