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Vascular emergencies in cholelithiasis and cholecystectomy: our experience with two cases and literature review.

Vascular emergencies in cholelithiasis and cholecystectomy: our experience with two cases and literature review. Research Abstract Details 

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  • Vascular emergencies in cholelithiasis and cholecystectomy: our experience with two cases and literature review. Abstract Text:

    BACKGROUND: Complications from gallstones and laparoscopic cholecystectomy can be serious and fatal if there is a delay in recognition and treatment. We aim to present two unusual, life threatening vascular complications as a result of gallstones and laparoscopic cholecystectomy. Their management is highlighted with a brief review of literature. METHODS: Data for the article were gathered from clinical case note review. Radiology database was used for images. A brief literature review was undertaken using Pubmed search. The keywords used included hemobilia, pseudoaneurysm, arterio-biliary fistula and laparoscopic cholecystectomy. RESULTS: The article highlights two individual case reports. The first case constitutes an 81-year woman who had cystic arterial erosion causing hematemesis, while the second patient was a 57-year man who presented with hemobilia from a pseudoaneurysm of right hepatic artery (RHA) following laparoscopic cholecystectomy. Cystic arterial erosion was treated with subtotal cholecystectomy with duodenal defect closure while the pseudoaneurysm underwent radiological intervention. CONCLUSIONS: Cystic artery erosion and pseudoaneurysm causing arteriobiliary fistula are rare vascular complications related to the biliary tree. A high index of suspicion and timely intervention is important. Trauma to arteries should be avoided during laparoscopic cholecystectomy.

    Vascular emergencies in cholelithiasis and cholecystectomy: our experience with two cases and literature review. Publishing Authors By Initials

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    PUBMED ID PMID:

    MEDLINE DATE:

    Vascular emergencies in cholelithiasis and cholecystectomy: our experience with two cases and literature review. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Hepatobiliary & pancreatic diseases international

    VOLUME: 7

    Page Numbers: 217-20

    Journal Abbreviation:

    ISSN: 1499-3872

    DAY: 9

    MONTH: Apr

    YEAR: 2008

    Vascular emergencies in cholelithiasis and cholecystectomy: our experience with two cases and literature review. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 101151457

    Vascular emergencies in cholelithiasis and cholecystectomy: our experience with two cases and literature review. Keywords Mesh Terms:

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    Grant and Affiliation Information for Vascular emergencies in cholelithiasis and cholecystectomy: our experience with two cases and literature review.

    AFFILIATION: Department of Surgery, North Tyneside General Hospital, Tyne and Wear, UK. simha_anu@yahoo.com.

    Country: China

    China Research PublicationChina Research Publication

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    MEDLINETA: Hepatobiliary Pancreat Dis Int

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