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CASE REPORT
Acute biliary pancreatitis masking haemobilia due to a false aneurysm of the right hepatic artery after laparoscopic cholecystectomy
  1. Sjaak Pouwels1,
  2. Corne Kanters2,
  3. Pum A le Haen3,
  4. Marijn Poelman2
  1. 1Surgery, Franciscus Gasthuis & Vietland, Rotterdam/ Schiedam, The Netherlands
  2. 2Department of Surgery, Franciscus Gasthuis & Vlietland, Schiedam, The Netherlands
  3. 3Department of Radiology, Franciscus Gasthuis & Vlietland, Schiedam, The Netherlands
  1. Correspondence to Dr Sjaak Pouwels, sjaakpwls{at}gmail.com

Summary

Laparoscopic cholecystectomy is a commonly performed surgical procedure. The postoperative course is often uncomplicated; however, complications like infection, biliary leakage, and bleeding and bile duct injury can occur. Here we report on a patient with common bile duct obstruction and haemobilia due to a false aneurysm of the right hepatic artery after laparoscopic cholecystectomy, masked by biliary pancreatitis, complicated by an infarction of the liver after embolisation. The aetiology of upper gastrointestinal bleeding greatly varies. This case is an uncommon case of gastrointestinal bleeding due to a false aneurysm of the right hepatic artery, which was successfully treated.

  • biliary intervention
  • gi-stents
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Footnotes

  • Contributors SP, CK, PAlH and MP drafted, wrote and gave final approval of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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