[Massive hemobilia caused by erosion of the hepatic artery by cholelithiasis with cholecysto-duodenal fistula].

The authors present a case of gastrointestinal haemorrhage due to erosion of the hepatic artery by a gallstone trapped in the neck of the gallbladder. The unusual feature of this case resides in the exteriotisation of this haemorrhage via two anatomical routes: in the form of heamobilia via the common bile duct and in the form of gastrointestinal haemorrhage via a cholecysto-duodenal fistula. Haemostasis was achieved by ligation of the hepatic artery after failure of direct repair.