Hemobilia Caused by Rupture of Cystic Artery Aneurysm Pubmed



Hakami M¹ ; Beheshti G¹ ; Amirkhan A¹ Show Affiliations
Source: American Journal of Proctology Gastroenterology and Colon and Rectal Surgery Published:1976

Abstract

A 56 year old man started having epigastric pain and later he felt pain in the whole upper abdomen with radiation to the right shoulder. On the fifth day after admission, because of continued gastrointestinal bleeding, a laparotomy was performed through an upper midline incision. After releasing the omentum a mass appeared to be a distended gall bladder filled with bloody fluid. There was a nut size pulsating tumor on the left side of the gall bladder. The gall bladder was opened and a large stone and bloody bile escaped. It was found that the aneurysm originated from the cystic artery, which was clamped and ligated. The clamp on the hepatic pedicle was released and after removal of the gall bladder, the common duct, which was filled with clots, was opened. A 'Kehr' tube was placed in the common duct. A rubber drain was placed under the liver and the abdomen was closed. The patient did well and was discharged 3 weeks after the operation. The histologic examination confirmed the cystic artery aneurysm with rupture into the gallbladder.