Dieulafoy lesion of the gallbladder: A rare cause of hemobilia and acute pancreatitis – Case report

Santos, Teresa; Serra, Mercè Mateu; Oliveira, A.; Fernandes, Catarina

doi:10.1016/j.ijscr.2019.12.004

Cited by 6 publications

(3 citation statements)

References 9 publications

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“…4 . Once the location of the pseudoaneurysm is identified, chemoembolization can be performed, with a success rate ranging from 80-100%, adding less morbidity and mortality compared to the surgical approach 7,8 .…”

Section: Discussionmentioning

confidence: 99%

Radiointervention in Pseudoaeurysm of the Hepatic Artery After Biliary Tract Manipulation: Case Report

Rodrigues¹,

Sousa²,

Silva³

et al. 2023

JHS

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Hemobilia causes symptoms such as pain in the upper abdomen, upper gastrointestinal bleeding, and jaundice, the combination of which is known as Quincke's triad, which occurs due to bleeding within the biliary tree. Clinical case: Male patient, 44 years old, sought the General Surgery Service of the Federal Hospital of Andaraí with an indication for elective cholecystectomy after clinical resolution of cholecystitis. Due to an iatrogenic injury to the biliary tract, he was submitted to a choledoco-duodenal biliodigestive bypass. With the shunt stenosis, he evolved with jaundice, temporarily resolved with percutaneous drainage. After a new biliodigestive anastomosis (Hepp-Couinaud), hemobilia was diagnosed, whose investigation with arteriography revealed the presence of a pseudoaneurysm in the right hepatic artery. After the follow-up responsible for the nutrition of the pseudoaneurysm was embolized, the story had a positive outcome and the patient was discharged. It is not possible, however, to associate the pseudoaneurysm with just one of the many events surrounding this case.

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Section: Discussionmentioning

confidence: 99%

Radiointervention in Pseudoaeurysm of the Hepatic Artery After Biliary Tract Manipulation: Case Report

Rodrigues¹,

Sousa²,

Silva³

et al. 2023

JHS

View full text Add to dashboard Cite

show abstract

“…2 This finding is supported in the literature with the other reported cases of gallbladder DL all undergoing cholecystectomy and having an unremarkable recovery postoperatively. 2,3 This case describes another rare case of histologically proven DL in the gallbladder and an unusual cause of hemoperitoneum. Owing to its rarity, it is not regularly considered as a differential in presentations of acute gastrointestinal bleeding.…”

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confidence: 94%

“…2 Extragastric DL of the gastrointestinal tract are less common and have been described in the literature; however, DL of the gallbladder is extremely rare and to the best of our knowledge, only 7 cases of histologically proven gallbladder DL have been reported to date. 2,3 Although some causal links have been described, the exact a etiology of DL remains unknown. 1 Unlike other DLs in the gastrointestinal tract, owing to the anatomy of the gallbladder and its vascular supply, the treatment of choice is surgical (cholecystectomy).…”

mentioning

confidence: 99%