Hepatic artery pseudoaneurysm and hemobilia following laser laparoscopic cholecystectomy - A case report

Y. S. Genyk, F. S. Keller, N. B. Halpern

Research output: Contribution to journalArticle

40 Scopus citations

Abstract

This report describes injury to the hepatic artery with pseudoaneurysm formation and hemobilia following the use of laser-assisted dissection to perform laparoscopic cholecystectomy. A 57-year-old woman was referred emergently 2 weeks after laser laparoscopic cholecystectomy with upper abdominal pain, upper gastrointestinal bleeding, and jaundice. A selective hepatic arteriogram showed a right hepatic artery pseudoaneurysm which was embolized. Two weeks later the patient had recurrent hemobilia as the result of blood flow restoration in the pseudoaneurysm and a fistula to the cystic duct remnant. She was treated with two additional embolizations and direct injection of the aneurysm with thrombogenic material. Follow-up at 2 years showed no further recurrence. Since the laser has never been shown to have advantages over electrocautery, its use during laparoscopic cholecystectomy is difficult to justify.

Original languageEnglish (US)
Pages (from-to)201-204
Number of pages4
JournalSurgical endoscopy
Volume8
Issue number3
DOIs
StatePublished - Mar 1 1994

Keywords

  • Hemobilia
  • Hepatic artery pseudoaneurysm
  • Laparoscopy
  • Laser

ASJC Scopus subject areas

  • Surgery

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