Severe Hemobilia from Hepatic Artery Pseudoaneurysm after Laparoscopic Cholecystectomy: A Case Report and Review of Literature

Background: Hemobilia is a rare, jeopardizing complication of laparoscopic cholecystectomy coming upon patients generally within 4weeks from surgery. The first line management is angiographic coil embolization of hepatic arteries, which checks the majority ofbleedings whereas in a minority of cases, a second embolization or even laparotomy is needed.Case presentation: We describe the case history of a patient who had laparoscopic cholecystectomy complicated three weeks later bymassive hemobilia. The cause of hemorrhage was a pseudoaneurysm of a right hepatic artery branching off the superior mesentericartery. This complication was managed successfully by one stage angiographic embolization with full recovery of the patient.