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April 1979

Secondary Hemorrhage From the Right Hepatic Artery

Author Affiliations

Manchester, England

Arch Surg. 1979;114(4):550. doi:10.1001/archsurg.1979.01370280204039

We wish to report a case of hematemesis after cholecystectomy due to bleeding from the right hepatic artery since we have not found a similar case in the literature. It is reported to inform those with an interest in biliary surgery.

Report of a Case.–A 64-year-old widow presented with hematemesis four weeks after cholecystectomy for stones. The operation and postoperative course had been uneventful. The cystic artery was ligated with thread 2 cm from its origin from the right hepatic artery. At endoscopy, it appeared as if she was bleeding from a duodenal ulcer. Conservative treatment was tried but bleeding continued, so operation was advised. A large hematoma was found under the right lobe of the liver. While removing the clot, severe arterial bleeding was encountered.

This was controlled by compression of the common hepatic artery at its source after opening the lesser sac. After removal of the clot