PSEUDOANEURYSM OF THE HEPATIC-ARTERY ALONG WITH COMMON BILE-DUCT INJURY FOLLOWING LAPAROSCOPIC CHOLECYSTECTOMY - A REPORT OF 2 CASES

Arterial injuries during laparoscopic cholecystectomy have been descri bed frequently in literature. However, arterial injuries presenting in a delayed fashion as pseudoaneurysms are uncommon and the literature on the subject is also scant. Two patients are described here who deve loped pseudoaneurysms of the right branch of the hepatic artery follow ing laparoscopic cholecystectomy along with lacerations of the common bile duct. One patient presented 7 days after the initial procedure wi th a bile fistula and bleeding from the drainage tube. The second pres ented as obstructive jaundice 4 months after the laparoscopic procedur e. Both patients were operated upon after appropriate radiological eva luation. These are unusual complications but need to be kept in mind w henever patients present with bleeding or jaundice after laparoscopic cholecystectomy.