An unusual presentation of hepatic aneurysm as a complication of laparoscopic cholecystectomy.

Abstract

Laparoscopic cholecystectomy is now the gold standard for treatment of symptomatic gallstones, and as numbers are increasing, it is important for surgeons to identify and treat vascular complications early, as they can be serious and potentially fatal. Pseudoaneurysms of the cystic and right hepatic arteries have been described after laparoscopic cholecystectomy, but typically present with haemobilia and symptoms of upper gastrointestinal bleeding. We report a patient who presented with extensive bruising of the abdominal wall and abdominal distension 16 days after an operation for acute cholecystitis.