A Case of Massive Hemobilia after a Long Period of Time Since Open Cholecystectomy / 대한췌담도학회지
Korean Journal of Pancreas and Biliary Tract
;
: 42-46, 2014.
Article
in Korean
| WPRIM
| ID: wpr-48142
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Surgical Instruments
/
Bile Ducts
/
Blood Vessels
/
Cholecystectomy
/
Angiography
/
Melena
/
Duodenoscopy
/
Aneurysm, False
/
Common Bile Duct
/
Fistula
Limits:
Aged
/
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Pancreas and Biliary Tract
Year:
2014
Type:
Article
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