Case report: acute pancreatitis caused by postcholecystectomic hemobilia
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
BMC Gastroenterology 2010, 10:75 doi:10.1186/1471-230X-10-75Published: 7 July 2010
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.
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.
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.