Case report: acute pancreatitis caused by postcholecystectomic hemobilia

BMC Gastroenterology

Case Report

Halil Alis¹  Ersan Aygun¹  Mehmet A Bozkurt¹  Osman Z Oner¹  Kemal Dolay¹  Ahmet N Turhan¹  Adem Uçar²  Ercan Inci³ 

[1] Department of General Surgery, Bakirkoy Dr. Sadi Konuk Train And Research Hospital, Tevfik Saglam Road, Istanbul, Turkey;Department of Interventional Radiology, Istanbul University Istanbul Faculty of Medicine, Capa, Istanbul, Turkey;Department of Radiology, Bakirkoy Dr. Sadi Konuk Train And Research Hospital, Tevfik Saglam Road, Istanbul, Turkey;

关键词: Acute Pancreatitis;    Common Bile Duct;    Hepatic Artery;    Laparoscopic Cholecystectomy;    Obstructive Jaundice;   

DOI  :  10.1186/1471-230X-10-75

 received in 2009-12-01, accepted in 2010-07-07,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundHemobilia is a rare cause of upper GI bleeding and the reasons for the majority of the cases are iatrogenic. It is also one of the rarest vascular complication following laparoscopic cholecystectomy but acute pancreatitis due to postcholecystectomic hemobilia as a late complication of cholecystectomy is not yet described.Case PresentationWe presented the case of a 32-year-old female, admitted to our emergency surgery clinic with hematemesis, jaundice and abdominal pain who had a history of laparoscopic cholecystectomy 4 months ago. Patient was diagnosed as acute pancreatitis and obstructive jaundice caused by postcholecystectomic hemobilia. Afterwards she is successfully treated by ERCP, angiographic identification and embolization of right hepatic artery pseudoaneurysm.ConclusionsWe presented that postcholecystectomic hemobilia may cause acute pancreatitis and acute pancreatitis caused by postcholecystectomic hemobilia should also be included to the rare complications which may occur following cholecystectomy.

【 授权许可】

CC BY   
© Alis et al; licensee BioMed Central Ltd. 2010