|
KMID : 0985520140190010042
|
|
Korean Journal of Pancreas and Biliary Tract
2014 Volume.19 No. 1 p.42 ~ p.46
|
|
|
A Case of Massive Hemobilia after a Long Period of Time Since Open Cholecystectomy
|
|
Jeong Jee-Sun
Jang Ji-Hye
Chung Eun
Yang Hyun
Kim Hyun-Seon
Eum Young-Ook
Bae Il-Hun
Park Seon-Mee
|
|
|
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
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|