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Open Access Case report

Case report: acute pancreatitis caused by postcholecystectomic hemobilia

Halil Alis1*, Mehmet A Bozkurt1, Osman Z Oner1, Kemal Dolay1, Ahmet N Turhan1, Adem Uçar3, Ercan Inci2 and Ersan Aygun1

Author Affiliations

1 Department of General Surgery, Bakirkoy Dr. Sadi Konuk Train And Research Hospital, Tevfik Saglam Road, Istanbul, Turkey

2 Department of Radiology, Bakirkoy Dr. Sadi Konuk Train And Research Hospital, Tevfik Saglam Road, Istanbul, Turkey

3 Department of Interventional Radiology, Istanbul University Istanbul Faculty of Medicine, Capa, Istanbul, Turkey

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BMC Gastroenterology 2010, 10:75  doi:10.1186/1471-230X-10-75

Published: 7 July 2010

Abstract

Background

Hemobilia is a rare cause of upper GI bleeding and the reasons for the majority of the cases are iatrogenic. It is also one of the rarest vascular complication following laparoscopic cholecystectomy but acute pancreatitis due to postcholecystectomic hemobilia as a late complication of cholecystectomy is not yet described.

Case Presentation

We presented the case of a 32-year-old female, admitted to our emergency surgery clinic with hematemesis, jaundice and abdominal pain who had a history of laparoscopic cholecystectomy 4 months ago. Patient was diagnosed as acute pancreatitis and obstructive jaundice caused by postcholecystectomic hemobilia. Afterwards she is successfully treated by ERCP, angiographic identification and embolization of right hepatic artery pseudoaneurysm.

Conclusions

We presented that postcholecystectomic hemobilia may cause acute pancreatitis and acute pancreatitis caused by postcholecystectomic hemobilia should also be included to the rare complications which may occur following cholecystectomy.