Hemobilia after laparoscopic gallbladder bed resection and portal lymphadenectomy for incidental gallbladder adenocarcinoma


 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.
