RSS-Feed abonnieren
![](/products/assets/desktop/img/oa-logo.png)
DOI: 10.1055/s-0044-1785224
Unusual Cause of Hemobilia
Funding None.![](https://www.thieme-connect.de/media/10.1055-s-00043283/202402/lookinside/thumbnails/10-1055-s-0044-1785224_23120001-1.jpg)
Abstract
Hemobilia is one of the rare causes of upper gastrointestinal (GI) bleeding. Causes of hemobilia vary from benign lesions, malignant tumors, to vascular causes. Rupture of a hepatic artery aneurysm into common bile duct is rarely encountered in clinical practice, and sometimes can be very tricky to diagnose if the clinician is not aware of this cause of GI bleeding. We diagnosed a young female who has had a recent gallbladder surgery and presented with a massive upper GI bleeding. She was managed with coil embolization of the right hepatic artery.
Publikationsverlauf
Artikel online veröffentlicht:
27. März 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Suárez-Grau JM, Rubio-Chaves C, Pareja-Ciuró F, Gómez-Bravo MA, Diez-Canedo JS, García-González I. [Obstructive jaundice secondary to hepatic artery aneurysm]. Cir Cir 2008; 76 (03) 253-256
- 2 Bronstein J, Cohen J, Sehgal S, Kolasinski S. Hepatic artery aneurysm: an unusual case of biliary obstruction. Vasc Med 2010; 15 (01) 75-77
- 3 Abbas MA, Fowl RJ, Stone WM. et al. Hepatic artery aneurysm: factors that predict complications. J Vasc Surg 2003; 38 (01) 41-45
- 4 Sessa C, Tinelli G, Porcu P, Aubert A, Thony F, Magne JL. Treatment of visceral artery aneurysms: description of a retrospective series of 42 aneurysms in 34 patients. Ann Vasc Surg 2004; 18 (06) 695-703
- 5 Merrell SW, Schneider PD. Hemobilia–evolution of current diagnosis and treatment. West J Med 1991; 155 (06) 621-625
- 6 Green MH, Duell RM, Johnson CD, Jamieson NV. Haemobilia. Br J Surg 2001; 88 (06) 773-786
- 7 Madariaga JR, Dodson SF, Selby R, Todo S, Iwatsuki S, Starzl TE. Corrective treatment and anatomic considerations for laparoscopic cholecystectomy injuries. J Am Coll Surg 1994; 179 (03) 321-325
- 8 Wani NA, Gojwari TA, Khan NA, Kosar TL. Hemobilia in a child due to right hepatic artery pseudoaneurysm: multidetector-row computed tomography demonstration. Saudi J Gastroenterol 2011; 17 (02) 152-154
- 9 Dobbins JM, Rao PM, Novelline RA. Posttraumatic hemobilia. Emerg Radiol 1997; 4: 180-183
- 10 Madanur MA, Battula N, Sethi H, Deshpande R, Heaton N, Rela M. Pseudoaneurysm following laparoscopic cholecystectomy. Hepatobiliary Pancreat Dis Int 2007; 6 (03) 294-298
- 11 Hofmann AF. Bile acids: the good, the bad, and the ugly. News Physiol Sci 1999; 14: 24-29
- 12 Muehlenberg K, Löffler A. [Clip migration in the common bile duct and consecutive calculus formation after laparoscopic cholecystectomy]. Z Gastroenterol 1995; 33 (02) 108-111
- 13 Connor S, Garden OJ. Bile duct injury in the era of laparoscopic cholecystectomy. Br J Surg 2006; 93 (02) 158-168
- 14 López AC, Villar JM, Álvarez-Arenas IB. et al. Hemobilia: a rare cause of massive gastrointestinal bleeding. Cir Esp 2007; 82: 368-372
- 15 Shapira Z, Lavy R, Altshuler A, Peer A, Copel L, Halevy A. Hemobilia as a presenting sign of hepatic artery to portal vein fistula caused by percutaneous transhepatic biliary drainage. Isr Med Assoc J 2011; 13 (01) 64-65
- 16 Xu ZB, Zhou XY, Peng ZY, Xu SL, Ruan LX. Evaluation of selective hepatic angiography and embolization in patients with massive hemobilia. Hepatobiliary Pancreat Dis Int 2005; 4 (02) 254-258