A rare case of postoperative hemorrhage following laparoscopic cholecystectomy - A case report

Laparoscopic cholecystectomy (LC) is widely accepted as the gold standard procedure for gallbladder removal. While LC is generally acknowledged for its safety and efficacy, this surgical intervention still carries the risk of complications, including postoperative hemorrhage, alongside other rare ca...

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Main Authors: Mei-Ling Chen, Ruo-Tong Cai, Haitham Salameen, Xiu-Lin Wang, Peng Chen, Xiong Ding, Yun-Bing Wang
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Heliyon
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Online Access:http://www.sciencedirect.com/science/article/pii/S2405844024175913
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author Mei-Ling Chen
Ruo-Tong Cai
Haitham Salameen
Xiu-Lin Wang
Peng Chen
Xiong Ding
Yun-Bing Wang
author_facet Mei-Ling Chen
Ruo-Tong Cai
Haitham Salameen
Xiu-Lin Wang
Peng Chen
Xiong Ding
Yun-Bing Wang
author_sort Mei-Ling Chen
collection DOAJ
description Laparoscopic cholecystectomy (LC) is widely accepted as the gold standard procedure for gallbladder removal. While LC is generally acknowledged for its safety and efficacy, this surgical intervention still carries the risk of complications, including postoperative hemorrhage, alongside other rare causes of bleeding. Postoperative recurrent bleeding often arises from complex underlying causes and demands swift identification and intervention for effective management. Here, we present a rare case of a patient diagnosed with an overlapping syndrome comprising primary biliary cholangitis (PBC) and autoimmune hepatitis (AIH), along with Sjögren's syndrome (SS). This patient experienced recurrent massive hemorrhage following cholecystectomy and was ultimately diagnosed with acquired hemophilia A (AHA). We provide a detailed account of the diagnostic and management processes involved.
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issn 2405-8440
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spelling doaj-art-c8a066607e4b4880848f04c2dabcac952025-02-06T05:12:33ZengElsevierHeliyon2405-84402025-02-01113e41560A rare case of postoperative hemorrhage following laparoscopic cholecystectomy - A case reportMei-Ling Chen0Ruo-Tong Cai1Haitham Salameen2Xiu-Lin Wang3Peng Chen4Xiong Ding5Yun-Bing Wang6Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical University, No. 288, Tianxing Avenue, Chayuan, Nan'an District, Chongqing, 400010, ChinaDepartment of Hepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical University, No. 288, Tianxing Avenue, Chayuan, Nan'an District, Chongqing, 400010, ChinaDepartment of Hepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical University, No. 288, Tianxing Avenue, Chayuan, Nan'an District, Chongqing, 400010, ChinaThe Second Clinical College, Chongqing Medical University, Chongqing, 400010, ChinaDepartment of Hepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical University, No. 288, Tianxing Avenue, Chayuan, Nan'an District, Chongqing, 400010, ChinaDepartment of Hepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical University, No. 288, Tianxing Avenue, Chayuan, Nan'an District, Chongqing, 400010, China; Corresponding author.Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical University, No. 288, Tianxing Avenue, Chayuan, Nan'an District, Chongqing, 400010, China; Corresponding author.Laparoscopic cholecystectomy (LC) is widely accepted as the gold standard procedure for gallbladder removal. While LC is generally acknowledged for its safety and efficacy, this surgical intervention still carries the risk of complications, including postoperative hemorrhage, alongside other rare causes of bleeding. Postoperative recurrent bleeding often arises from complex underlying causes and demands swift identification and intervention for effective management. Here, we present a rare case of a patient diagnosed with an overlapping syndrome comprising primary biliary cholangitis (PBC) and autoimmune hepatitis (AIH), along with Sjögren's syndrome (SS). This patient experienced recurrent massive hemorrhage following cholecystectomy and was ultimately diagnosed with acquired hemophilia A (AHA). We provide a detailed account of the diagnostic and management processes involved.http://www.sciencedirect.com/science/article/pii/S2405844024175913Laparoscopic cholecystectomyAcquired hemophilia AHemorrhageCase report
spellingShingle Mei-Ling Chen
Ruo-Tong Cai
Haitham Salameen
Xiu-Lin Wang
Peng Chen
Xiong Ding
Yun-Bing Wang
A rare case of postoperative hemorrhage following laparoscopic cholecystectomy - A case report
Heliyon
Laparoscopic cholecystectomy
Acquired hemophilia A
Hemorrhage
Case report
title A rare case of postoperative hemorrhage following laparoscopic cholecystectomy - A case report
title_full A rare case of postoperative hemorrhage following laparoscopic cholecystectomy - A case report
title_fullStr A rare case of postoperative hemorrhage following laparoscopic cholecystectomy - A case report
title_full_unstemmed A rare case of postoperative hemorrhage following laparoscopic cholecystectomy - A case report
title_short A rare case of postoperative hemorrhage following laparoscopic cholecystectomy - A case report
title_sort rare case of postoperative hemorrhage following laparoscopic cholecystectomy a case report
topic Laparoscopic cholecystectomy
Acquired hemophilia A
Hemorrhage
Case report
url http://www.sciencedirect.com/science/article/pii/S2405844024175913
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