Hurtarte-Sandoval AR, Flores-Robles BJ, Penate-Dardón JD, González-Galilea A. Haemobilia due to iatrogenic portobiliary fistula after cholecystectomy.
BMJ Case Rep 2013;
2013:bcr2013009768. [PMID:
23697454 PMCID:
PMC3670002 DOI:
10.1136/bcr-2013-009768]
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Abstract
Haemobilia, defined as bleeding into the biliary tree is a rare condition. We describe a case report of a patient who presented it as a complication of iatrogenic portobiliary fistula, followed after an open cholecystectomy. The patient presented to the emergency department with late onset symptoms of haematemesis and melena a month after surgery. Findings were confirmed by Doppler ultrasound that showed the appearance of intragallbladder mass with high echogenicity representing a blood clot. Also, next to the portal vein and the biliary duct a lesion with mixed blood flow was detected confirming a portobiliary fistula. This case was successfully managed by angiography and selective embolisation.
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