{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:10:01Z","timestamp":1756365001300,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,12,12]]},"abstract":"<jats:p>Spontaneous right hepatic artery branch gallbladder fistula is a rare condition. Our case reported a spontaneous fistula between the right branch of the hepatic artery and the gall bladder. It constitutes a rare cause of haemobilia. In fact, the most common aetiology of haemobilia is traumatic or iatrogenic secondary to hepatobiliary surgery or interventions. Diagnosis of vascular-biliary fistula is not easy. The gallbladder endoluminal clot can mimic a mass, as in our patient. Selective arterial angiography is helpful in identifying the source of gastrointestinal haemorrhage. It can demonstrate the presence of arteriobiliary fistula. The differential diagnosis is arterial pseudoaneurysm in the vicinity of the vessel. Mini-invasive treatment of this fistula constitutes the best treatment. We here report a case of haemobilia with upper cataclysmic gastrointestinal bleeding revealing a spontaneous fistula between the right branch of the hepatic artery and the gall bladder.<\/jats:p>","DOI":"10.1136\/bcr-2017-222134","type":"journal-article","created":{"date-parts":[[2018,1,3]],"date-time":"2018-01-03T05:00:15Z","timestamp":1514955615000},"page":"bcr-2017-222134","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Spontaneous right hepatic artery branch gallbladder fistula revealed by haemobilia and upper cataclysmic gastrointestinal bleeding"],"prefix":"10.1136","volume":"2018","author":[{"given":"Sana","family":"Landolsi","sequence":"first","affiliation":[{"name":"Department of Surgery, Universite de Tunis El Manar Faculte de Medecine de Tunis, Tunis, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manel","family":"Landolsi","sequence":"additional","affiliation":[{"name":"Department of Radiology, Universite de Tunis El Manar Faculte de Medecine de Tunis, Tunis, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saber","family":"Mannai","sequence":"additional","affiliation":[{"name":"Department of Surgery, Universite de Tunis El Manar Faculte de Medecine de Tunis, Tunis, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,1,3]]},"reference":[{"key":"2025082723561829000_2018.jan03_1.bcr-2017-222134.1","doi-asserted-by":"crossref","first-page":"41","DOI":"10.2298\/ACI0701041G","article-title":"Hemobilija","volume":"54","author":"Galun","year":"2007","journal-title":"Acta Chir Iugosl"},{"key":"2025082723561829000_2018.jan03_1.bcr-2017-222134.2","first-page":"621","article-title":"Hemobilia--evolution of current diagnosis and treatment","volume":"155","author":"Merrell","year":"1991","journal-title":"West J Med"},{"key":"2025082723561829000_2018.jan03_1.bcr-2017-222134.3","doi-asserted-by":"crossref","first-page":"41","DOI":"10.2298\/ACI0701041G","article-title":"[Hemobilia]","volume":"54","author":"Galun","year":"2007","journal-title":"Acta Chir Iugosl"},{"doi-asserted-by":"publisher","key":"2025082723561829000_2018.jan03_1.bcr-2017-222134.4","DOI":"10.1007\/s00595-006-3423-2"},{"doi-asserted-by":"publisher","key":"2025082723561829000_2018.jan03_1.bcr-2017-222134.5","DOI":"10.1186\/1471-230X-7-12"},{"key":"2025082723561829000_2018.jan03_1.bcr-2017-222134.6","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/j.1477-2574.2010.00225.x","article-title":"An analytical review of vasculobiliary injury in laparoscopic and open cholecystectomy","volume":"13","author":"Strasberg","year":"2011","journal-title":"HPB"},{"key":"2025082723561829000_2018.jan03_1.bcr-2017-222134.7","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1002\/bjs.6022","article-title":"Management of concomitant hepatic artery injury in patients with iatrogenic major bile duct injury after laparoscopic cholecystectomy","volume":"95","author":"Li","year":"2008","journal-title":"Br J Surg"},{"doi-asserted-by":"publisher","key":"2025082723561829000_2018.jan03_1.bcr-2017-222134.8","DOI":"10.1186\/1471-230X-13-43"},{"key":"2025082723561829000_2018.jan03_1.bcr-2017-222134.9","first-page":"99","article-title":"[Hemobilia due to chronic cholecystitis. 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