An Unusual Life-Threatening Hemobilia Caused by Hepatic Pseudoaneurysm Following Choledochostomy: A Case Report

Zijun Liu,Pengcheng Xi,Shiyong Yang

doi:10.4236/crcm.2016.52007

Abstract

The present report describes a case of hemobilia caused by hepatic pseudoaneurysm. A 63-year-old woman was admitted with abdominal pain and mild jaundice. She was diagnosed as choledocholithiasis and hypersplenism and underwent choledocolithotomy and splenectomy. 9th day post operation, massive fresh blood suddenly flew out from T tube and she underwent emergency abdominal exploration but there were no obvious bleeding sites in the abdominal cavity and no bleeding sites in the biliary tree by choledochoscope. 7th day after the second operation, fresh blood suddenly flew out from T tube again and angiography showed two small peudoaneurysms at the second branch of right hepatic artery which might result in hemobilia. The hemobilia was treated successfully with coil embolisation of peudoaneurysms and she recovers fully.

Highlights

Hemobilia is a rare, life threatening biliary tract complication
Life threatening biliary tract complication. It can be caused by hepatic pseudoaneurysm [1] [2] due to both iatrogenic and noniatrogenic causes [3]
We report a case of hemobilia caused by hepatic pseudoaneurysm treated successfully by Transcatheter Arterial Embolization (TAE)

Summary

Introduction

It can be caused by hepatic pseudoaneurysm [1] [2] due to both iatrogenic and noniatrogenic causes [3]. The mechanism for the formation of hepatic pseudoaneurysm is still unclear. There are several ways to treat hepatic pseudoaneurysm-induced hemoblia. No single treatment modality has been considered as the best treatment option for all patients [4]. We report a case of hemobilia caused by hepatic pseudoaneurysm treated successfully by Transcatheter Arterial Embolization (TAE). How to cite this paper: Liu, Z.J., Yang, S.Y. and Xi, P.C. (2016) An Unusual Life-Threatening Hemobilia Caused by Hepatic Pseudoaneurysm Following Choledochostomy: A Case Report. Case Reports in Clinical Medicine, 5, 37-42.

Case Presentation

Discussion

Conclusion