Affiliation:
1. MD, General Surgery Department, Unidade Local de Saúde de Matosinhos, Matosinhos, Porto, Portugal
2. MD, Radiology Department, Centro Hospitalar Universitário de São João, Porto, Portugal
3. MD, PhD, General Surgery Department, Unidade Local de Saúde de Matosinhos, Matosinhos, Porto, Portugal
Abstract
Introduction: Upper gastrointestinal bleeding caused by hemobilia is rare and a consequence of vascular-biliary fistula. These fistulas are mainly associated with biliary surgeries’ iatrogenic injuries.
Case Report: This case reports of an elderly man with prior history of laparoscopic gallbladder bed resection and portal lymphadenectomy, which presented with hemobilia one month after the surgery. Diagnosis was not straightforward, but the patient was successfully treated with selective arteriography and hepatic artery stenting.
Conclusion: High suspicion for hemobilia in a patient with right upper quadrant pain, jaundice, and blood loss in the stools after biliary surgery and rapid intervention are essential to avoid further complications.
Publisher
Edorium Journals Pvt. Ltd.
Subject
Computer Science (miscellaneous),Computer Networks and Communications,Computer Science Applications,Hardware and Architecture,Software,General Computer Science,Management of Technology and Innovation,Information Systems and Management,Organizational Behavior and Human Resource Management,Strategy and Management,Communication,Management Information Systems,Electrical and Electronic Engineering,Condensed Matter Physics,Instrumentation,Radiation,Public Health, Environmental and Occupational Health,Safety Research,Management of Technology and Innovation,Education,Management of Technology and Innovation,Renewable Energy, Sustainability and the Environment,Management of Technology and Innovation,Education
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