Detection and treatment of an aneurysma spurium of the arteria hepatica dextra after laparoscopic cholecystectomy

BMC Gastroenterology

Case Report

Bernd Krakamp¹  Thomas Saers¹  Oliver Kirschberg²  Andreas Scheding³ 

[1] Department of Internal Medicine II, Witten/Herdecke University, Faculty of Health – School of Medicine, Campus Cologne-Merheim, Ostmerheimerstrasse 200, D-51109, Cologne, Germany;Department of Internal Medicine II, Witten/Herdecke University, Faculty of Health – School of Medicine, Campus Cologne-Merheim, Ostmerheimerstrasse 200, D-51109, Cologne, Germany;Department of Internal Medicine, HELIOS Klinik Wipperfuerth, Alte-Koelner-Strasse 9, D-51668, Wipperfuerth, Germany;Department of Internal Medicine, Gastroenterology and Diabetology, Vivantes Humboldt Klinikum, Am Nordgraben 2, D-13509, Berlin, Germany;

关键词: Aneurysma spurium;    Arteria hepatica;    Upper gastrointestinal bleeding;    Laparoscopic cholecystectomy;   

DOI  :  10.1186/1471-230X-13-121

 received in 2013-01-30, accepted in 2013-07-24,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundMassive upper gastrointestinal hemorrhage can be the dominant symptom of decompensated liver cirrhosis, varices and ulcerations in the upper gastrointestinal tract. Postoperative complications are known to lead to these bleedings. Commonly, emergency endoscopy will be performed. Here we report of a patient with extensive bleeding caused by an aneurysma spurium of the arteria hepatica dextra induced by a laparoscopic cholecystectomy. The condition was diagnosed by the Doppler ultrasound scan of the liver.Case presentationInitially the source of the gastrointestinal bleeding was caused by an ulcus Dieulafoy in the jejunum which was stopped by clipping. Continous bleeding was observed and traced to a rare complication of a laparoscopic cholecystectomy due to a gallbladder empyema. After surgical intervention the patient developed an aneurysma spurium of the arteria hepatica dextra which was in communication with the small bowel. The successful treatment was performed by embolizing the aneurysma.ConclusionThe reasons for gastrointestinal bleedings are manifold. This case presents a seldom cause of a gastrointestinal bleeding due to an aneurysma of the hepatic arteria. The successful embolization was performed to ultimately stop the bleeding.

【 授权许可】

CC BY   
© Kirschberg et al.; licensee BioMed Central Ltd. 2013