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Case Report
Hemobilia after laparoscopic gallbladder bed resection and portal lymphadenectomy for incidental gallbladder adenocarcinoma
1 MD, General Surgery Department, Unidade Local de Saúde de Matosinhos, Matosinhos, Porto, Portugal
2 MD, Radiology Department, Centro Hospitalar Universitário de São João, Porto, Portugal
3 MD, PhD, General Surgery Department, Unidade Local de Saúde de Matosinhos, Matosinhos, Porto, Portugal
Address correspondence to:
José Pedro Gonçalves
Rua Quinta da Vila, nº 37, Roriz, Santo Tirso, Porto,
Portugal
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Article ID: 100111Z12JG2022
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How to cite this article
Gonçalves JP, Valente PM, Sousa PF, Cocco F, Faria G. Hemobilia after laparoscopic gallbladder bed resection and portal lymphadenectomy for incidental gallbladder adenocarcinoma. J Case Rep Images Surg 2022;8(2):38–42.ABSTRACT
Introduction: Upper gastrointestinal bleeding caused by hemobilia is rare and a consequence of vascular-biliary fistula. These fistulas are mainly associated with biliary surgeries’ iatrogenic injuries.
Case Report: This case reports of an elderly man with prior history of laparoscopic gallbladder bed resection and portal lymphadenectomy, which presented with hemobilia one month after the surgery. Diagnosis was not straightforward, but the patient was successfully treated with selective arteriography and hepatic artery stenting.
Conclusion: High suspicion for hemobilia in a patient with right upper quadrant pain, jaundice, and blood loss in the stools after biliary surgery and rapid intervention are essential to avoid further complications.
Keywords: Anemia, Arteriography, Cholecystectomy, Gastrointestinal bleeding, Hemobilia
SUPPORTING INFORMATION
Author Contributions
José Pedro Gonçalves - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Pedro Maurício Valente - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Pedro Filipe Sousa - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Francisco Cocco - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Gil Faria - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 José Pedro Gonçalves et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
