Iannelli Antonio, Karimdjee Babou Soilihi, Fabiani Pascal, Benizri Emmanuel Isaac, Converset Sophie, Medjoubi Sid Ali, Bornet Pierre, Gugenheim Jean
Service de Chirurgie Digestive et Transplantation Hépatique, Hôpital Archet 2, Université Sophia Antipolis, 151, route Saint-Antoine-de-Ginestière, BP 3079, Nice Cedex 3.
Gastroenterol Clin Biol. 2003 Mar;27(3 Pt 1):341-3.
Although laparoscopic cholecystectomy is considered to be the gold standard for treatment for symptomatic cholelithiasis, it is associated with an increased risk of biliary and vascular injury compared to the traditional technique. We report the case of a 36-year-old woman with haemobilia secondary to a pseudoaneurysm of the right branch of the hepatic artery, that occurred two months after laparoscopic cholecystectomy. The patient was successfully treated with embolisation of the right hepatic artery. Hemobilia is a rare complication that should considered when managing patients with bleeding or jaundice even several months after laparoscopic cholecystectomy.
尽管腹腔镜胆囊切除术被认为是有症状胆结石治疗的金标准,但与传统技术相比,它与胆管和血管损伤风险增加有关。我们报告了一例36岁女性,在腹腔镜胆囊切除术后两个月发生肝动脉右支假性动脉瘤继发胆道出血。该患者通过右肝动脉栓塞成功治疗。胆道出血是一种罕见的并发症,在处理腹腔镜胆囊切除术后数月出现出血或黄疸的患者时应予以考虑。