# Acute Pancreatitis Caused by Hemobilia: An Unusual Complication of Laparoscopic Cholecystectomy in a Patient With History of ROUX-EN-Y Gastric Bypass

## TL;DR

This paper reports a rare case of acute pancreatitis caused by hemobilia following a laparoscopic cholecystectomy in a patient with a history of gastric bypass surgery.

## Contribution

This is the first reported case in the U.S. of acute pancreatitis due to hemobilia from a right hepatic artery pseudoaneurysm after laparoscopic cholecystectomy.

## Key findings

- Acute pancreatitis can result from hemobilia after laparoscopic cholecystectomy.
- Right hepatic artery pseudoaneurysm is a rare but possible cause of hemobilia.
- This case highlights the diagnostic and treatment challenges of such a complication.

## Abstract

Acute pancreatitis as a result of hemobilia after laparoscopic cholecystectomy is a rare vascular complication with a challenging clinical diagnosis and treatment approach not eminent or available. We are reporting the fourth case of acute pancreatitis after laparoscopic cholecystectomy caused by hemobilia secondary to a right hepatic artery pseudoaneurysm. To our knowledge, this is the first such case reported in the United States.