1
|
Skums AV, Litvin AI, Kondratiuk VA, Zhalko-Titarenko IV, Skums AA, Stokolos AV, Mikhal'chevskiĭ VP. [Combined impairments of common hepatic duct and the branch of the right hepatic artery complicated by hemobilia]. Klin Khir 2015:69-71. [PMID: 25842688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
|
2
|
Eum JB, Bang SJ, Hwang JC, Hwang YT, Seo JM, Jung SW, Nam CW, Kim DH. [Hemobilia from pancreatic arteriovenous malformation: successful treatment with transportal coil embolization of draining veins]. Korean J Gastroenterol 2007; 50:265-270. [PMID: 18159192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
Pancreatic arteriovenous malformations (AVM) are extremely rare diseases frequently complicated by gastrointestinal hemorrhage. While surgical resection of affected lesion is preferred for the treatment of pancreatic AVM, angiographic intervention can be used as an alternative treatment, especially in surgically high-risk patients. We experienced a patient with pancreatic AVM manifested by hemobilia and biliary sepsis. Superior mesenteric and common hepatic arteriography showed pancreaticoduodenal AVM composed of nidus supplied by numerous fine feeding arteries and of draining veins encircling the common bile duct (CBD). Hemobilia was controlled by transportal coil embolization of draining veins of AVM around the CBD. Herein, we report this case with the review of literatures.
Collapse
Affiliation(s)
- Jun-Bum Eum
- Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
| | | | | | | | | | | | | | | |
Collapse
|
3
|
Abstract
Liver biopsy is generally considered a safe and highly useful procedure. It is frequently performed in an outpatient setting for diagnosis and follow-up in numerous liver disorders. Since its introduction at the end of the 19th century, broad experience, new imaging techniques and special needles have significantly reduced the rate of complications associated with liver biopsy. Known complications of percutaneous biopsy of the liver include hemoperitoneum, subcapsular hematoma, hypotension, pneumothorax and sepsis. Other intra-abdominal complications are less common. Hemobilia due to arterio-biliary duct fistula has been described, which has only rarely been clinically expressed as cholecystitis or pancreatitis. We report a case of a fifteen year-old boy who developed severe acute cholecystitis twelve days after a percutaneous liver biopsy performed in an outpatient setting. The etiology was clearly demonstrated to be hemobilia-associated, and the clinical course required the performance of a laparoscopic cholecystectomy. The post operative course was uneventful and the patient was discharged home. Percutaneous liver biopsy is a safe and commonly performed procedure. However, severe complications can occasionally occur. Both medical and surgical options should be evaluated while dealing with these rare incidents.
Collapse
Affiliation(s)
- Yair Edden
- Department of Surgery, Mount Sinai School of Medicine, New York, NY, USA
| | | | | | | |
Collapse
|
4
|
Abstract
The case of a patient with Crohn's disease and who presented 4 days after a percutaneous liver biopsy with haematochezia suggestive of an exacerbation of his inflammatory bowel disease is described. Subsequent abdominal ultrasonography revealed free fluid in the peritoneal cavity and around the gallbladder. Haemobilia was suspected. Selective hepatic arteriography demonstrated a fistula between the hepatic artery and the portal venous system, with the presence of a hepatic artery pseudoaneurysm. Bleeding was stopped by arterial embolisation using titanium microcoils. Haemobilia is a very rare complication of percutaneous liver biopsy, but it should not be overlooked as a potential late-onset cause of rectal bleeding following this procedure. Selective hepatic arterial embolisation is an effective and safe treatment for this serious complication.
Collapse
Affiliation(s)
- Ruth S Hodgson
- Gastroenterology Unit, Division of Medicine A, Imperial College School of Medicine, Hammersmith Hospital, London, UK
| | | | | |
Collapse
|
5
|
Sanders DG, Versluis PJ. Diffuse hemorrhage of the gallbladder wall: a rare cause of acute abdomen. JBR-BTR 2002; 85:150-1. [PMID: 12152727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/18/2023]
Affiliation(s)
- D G Sanders
- Department of Radiology, Spaarne Hospital, Haarlem, The Netherlands
| | | |
Collapse
|
6
|
Fukuda Y, Isomoto H, Takeshima F, Yamasaki K, Mizuta Y, Omagari K, Murase K, Yamaguchi H, Iseki M, Murata I, Kohno S. Heterotopic gastric mucosa in intrahepatic bile duct, presenting with hemobilia: a case report. Hepatogastroenterology 2001; 48:1337-9. [PMID: 11677958] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/22/2023]
Abstract
We present a 66-year-old man with unique heterotopic gastric mucosa in the intrahepatic bile duct causing hemobilia. Endoscopic retrograde cholangiography showed irregular stenosis of the left intrahepatic bile duct, and a provisional diagnosis of cholangiocarcinoma was made. Therefore, partial hepatic lobectomy and cholecystectomy were performed. Histological examination of the liver showed the presence of ectopic gastric mucosa in the intrahepatic bile duct containing mucous glands with parietal and chief cells and bile. Heterotopic gastric mucosa in the intrahepatic bile duct is a rare cause of hemobilia.
Collapse
Affiliation(s)
- Y Fukuda
- Department of Internal Medicine, Nagasaki Municipal Medical Center, Second Department of Internal Medicine, Nagasaki University School of Medicine, Nagasaki, Japan
| | | | | | | | | | | | | | | | | | | | | |
Collapse
|
7
|
Mizuno K, Itoh K, Monoe T, Itoh Y, Matsui T, Kondo Y, Wada T, Kanai M, Ohara H, Itoh M. Pancreaticobiliary arteriovenous malformation with common bile duct dilation in a patient with hemobilia. J Clin Gastroenterol 2001; 33:61-3. [PMID: 11418794 DOI: 10.1097/00004836-200107000-00015] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Arteriovenous malformation of the pancreas is a very rare entity. We describe a case involving the head of the pancreas associated with progressive hemobilia bleeding from the lower part of the common bile duct. The patient was a 50-year-old man with acute epigastralgia. Endoscopic retrograde cholangiopancreatography revealed hemobilia and cystic dilation of the common bile duct. Angiography demonstrated increased blood volume in the head of the pancreas and early filling of the superior mesenteric and portal veins. Abdominal pain and progressive anemia caused by hemobilia required surgical treatment. Histologic examination of the resected specimen revealed marked proliferation of the blood vessels in the pericholedochal area and the exact point of bleeding from the pancreaticobiliary arteriovenous malformation.
Collapse
Affiliation(s)
- K Mizuno
- Department of Gastroenterology, Kasugai Municipal Hospital, 1-1-1 Takagi-cho, Kasugai, Aichi, 486-8520, Japan.
| | | | | | | | | | | | | | | | | | | |
Collapse
|
8
|
Abstract
Massive hemobilia is a well recognized clinical entity, particularly when it presents with jaundice, GI bleeding, and biliary pain. However, occult hemobilia is more difficult to diagnose and has seldom been reported because of its clinically silent nature. In fact, this is usually overlooked until complications arise. Hemocholecyst or clot within the gallbladder may rarely occur in this setting, leading to cystic duct obstruction and cholecystitis. Most previous reports describe cholecystitis resulting from hemocholecyst after iatrogenic trauma. We describe two cases in which hemocholecyst occurred from underlying malignancies, both resulting in cholecystitis (acute or chronic).
Collapse
Affiliation(s)
- C P Heise
- University of Wisconsin Hospital and Clinics, Madison, USA
| | | | | | | |
Collapse
|
9
|
Abstract
We report herein the extremely unusual case of a 39-year-old woman in whom a giant cavernous hemangioma caused hemobilia. Cavernous hemangioma is the most common benign neoplasm of the liver and rarely causes any clinical symptoms or signs, while hemobilia usually occurs secondary to accidental operative or iatrogenic trauma, vascular disease, inflammatory disorders, gallstones, or tumors of the liver. Although invasive or malignant hepatic tumors often result in a communication between the biliary tract and the blood vessels, only one case of hemobilia caused by a benign cavernous hemangioma has ever been reported, but with no details about the patient. Our patient presented to a local hospital with severe melena as the initial main symptom, where ligation of the right hepatic artery was performed. This failed to relieve her symptoms, and she was subsequently referred to our department where a right hepatectomy was performed. Histopathological examination revealed no malignancy combined with the tumor; however, the hemangioma was exposed to the bile duct in segment VIII, which was presumably the cause of the hemobilia. This patient remains in good health almost 6 years after her operation. To the best of our knowledge this is the first case report of hemobilia caused by a cavernous hemangioma, and is accompanied by a detailed analysis.
Collapse
Affiliation(s)
- T Mikami
- First Department of Surgery, Sapporo Medical University School of Medicine, Japan
| | | | | | | | | |
Collapse
|
10
|
Teng GJ, Bettmann MA, Hoopes PJ, Wagner RJ, Park BH, Yang L, Baxter BR. Transjugular intrahepatic portosystemic shunt: effect of bile leak on smooth muscle cell proliferation. Radiology 1998; 208:799-805. [PMID: 9722863 DOI: 10.1148/radiology.208.3.9722863] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
PURPOSE To evaluate the effect of bile on smooth muscle cell (SMC) proliferation in vitro and in vivo in a porcine transjugular intrahepatic portosystemic shunt (TIPS) model. MATERIALS AND METHODS In vitro, SMCs explanted from porcine thoracic aorta were cultured with standard techniques. After initial pilot studies, they were subcultured in one of three groups: 1% porcine serum plus 1% bile, 10% porcine serum plus 1% bile, and 10% porcine serum. Cells were harvested at 3, 10, or 14 days, and DNA, protein, and disintegrations per minute (an indicator of proliferation) were measured. In vivo, TIPS creation was successful in 45 swine. All pigs were euthanized at 10-16 days. The proliferative response within the stent was histologically quantified and correlated for evidence of bile leak. RESULTS In pilot studies, 2.5%-10.0% bile solutions caused 100% SMC mortality by 3 days. In the presence of 1% bile (with or without porcine serum), both DNA and protein production decreased significantly compared with that in porcine serum alone (P < .05). In vivo, 13 of 45 specimens (29%) showed bile leak at gross or microscopic examination. SMC proliferation was less overall in animals with versus those without bile leak (difference not significant). CONCLUSION These data suggest that the proliferative response in a TIPS is not primarily due to bile leak. Bile leak may promote thrombosis, but it appears to inhibit myointimal proliferation.
Collapse
Affiliation(s)
- G J Teng
- Department of Radiology, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA
| | | | | | | | | | | | | |
Collapse
|
11
|
Kirchgatterer A, Allinger S, Spöttl A, Zisch R, Funk S, Messenbäck F, Haidenthaler A, Höbling W, Kramar R. [Aneurysm of the cystic artery as a rare cause of hemobilia]. Wien Klin Wochenschr 1998; 110:298-301. [PMID: 9615963] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
A 52-year old woman was admitted to the hospital because of upper abdominal pain and hematemesis. Laboratory parameters showed marked cholestasis. Endoscopic retrograde cholangiopancreatography (ERCP) lead to the diagnosis of hemobilia. CT-scan and angiography revealed an aneurysm of the cystic artery as the cause of hemobilia. Cholecystectomy was performed because of concomitant cholecystitis. Anatomical examination confirmed clinical diagnosis.
Collapse
Affiliation(s)
- A Kirchgatterer
- III. Interne Abteilung, Barmherzigen Schwestern, Wels, Osterreich
| | | | | | | | | | | | | | | | | |
Collapse
|
12
|
Hoffmann A, Günther K, Rupprecht H. [Concealed perforated aneurysm of an aberrant right hepatic artery: papillary bleeding. Case report and review of the literature]. Langenbecks Arch Chir 1998; 382:222-5. [PMID: 9445969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
A rare case of spurious aneurysm of an aberrant right hepatic artery is reported. Endoscopic retrograde cholangio-pancreaticography, computed tomography and selective angiography of the coeliac trunc are diagnostic. Resection of the aneurysm and interposition of saphenous vein is the preferred procedure. In selected cases ligation of the common hepatic artery is possible. Intrahepatic aneurysms are preferably treated interventionally.
Collapse
Affiliation(s)
- A Hoffmann
- Chirurgische Universitätsklinik Erlangen
| | | | | |
Collapse
|
13
|
Abstract
Haemobilia is defined as bleeding into the hepatobiliary system caused by a pathologic connection between blood vessels and biliary ducts. A rare cause of haemobilia is gallstone disease, with only 52 reported cases in the literature. The haemobilia is characterised by the classical triad: jaundice, colicky pain in the right upper quadrant and signs of gastrointestinal bleeding. Diagnosis can be made with endoscopic procedures and with angiography of the coeliac trunk, which has the highest sensitivity in localisation of bleeding source. The therapy of choice is cholecystectomy. We report the case of a patient with massive gastrointestinal haemorrhage caused by a solitary gallstone and present the diagnostic and therapeutic management of this disease, which is accompanied by a high mortality.
Collapse
Affiliation(s)
- J P Ritz
- Abteilung für Allgemein-, Gefäss- und Thoraxchirurgie, Universitätsklinikum Benjamin Franklin, FU Berlin
| | | | | |
Collapse
|
14
|
Abstract
To define the clinical significance of delayed postsphincterotomy hemorrhage, we reviewed 476 consecutive ERCP procedures performed over a three-year period. Of 250 patients who underwent endoscopic sphincterotomy (ES), five (2%) developed postprocedure hemorrhage, two of whom had immediate, self-limited bleeding that resolved after endoscopic injection of epinephrine and did not require transfusion. The other three had delayed hemorrhage characterized by: onset 20-48 hr after the procedure, melena without hematemesis as the index clinical manifestation of bleeding, and atraumatic balloon extraction of common duct stones. Transfusion of 2-6 units of packed erythrocytes was necessary in each and one patient required surgical hemostasis. Delayed hemorrhage following ERS is an important, frequently severe complication to remember when contemplating performing ERS as an outpatient procedure.
Collapse
Affiliation(s)
- C F Gholson
- Department of Medicine, Louisiana State University School of Medicine, Shreveport 71130-3932, USA
| | | | | | | | | |
Collapse
|
15
|
Baartz T, Köveker G, Hehrmann R, Becker HD. [Recurrent hematemesis and hemobilia in ruptured hepatic artery aneurysm--differential diagnostic aspects of acute, upper gastrointestinal hemorrhage]. Leber Magen Darm 1996; 26:42-6. [PMID: 8851877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Aneurysms of the hepatic artery are mostly localized extra hepatic (80%). Today atherosclerosis is the most prevalent etiology (32%), followed by trauma (22%) and inflammatory lesions (10%). Rupture or perforation of the aneurysm is the initial clinical manifestation (60-80%), and occurs with nearly equal frequency into the peritoneal cavity and into the hepatobiliary tract. Rupture into bile ducts is often responsible for characteristic findings of upper gastrointestinal bleedings with hematemesis. The case of a 38 year-old man is presented and the clinical manifestation, the diagnostic and therapeutic procedures are demonstrated.
Collapse
Affiliation(s)
- T Baartz
- Chirurgische Universitäts-Klinik, Tübingen
| | | | | | | |
Collapse
|
16
|
Horák D, Guseinov E, Adamyan A, Titova M, Danilov M, Trostenyuk N, Voronkova O, Gumargalieva K. Poly (2-hydroxyethyl methacrylate) particles for management of hemorrhage of complicated origin: treatment of hemobilia. J Biomed Mater Res 1996; 33:193-7. [PMID: 8864891 DOI: 10.1002/(sici)1097-4636(199623)33:3<193::aid-jbm9>3.0.co;2-l] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Poly (2-hydroxyethyl methacrylate) (PHEMA) particles of cylindrical and spherical shape were developed as a preparation for tumor treatment or control of hemorrhage by blocking their blood supply. In this report, PHEMA particles were used for the management of hemobilia, that is, bleeding into biliary passages. The origin of hemobilia in 31 patients was localized by selective angiography. With the objective of prophylaxy of hemorrhage, selective embolization with PHEMA particles of the branches of the hepatic artery responsible for the supply of blood to the focus of damage was used in 18 patients. This low-trauma method allowed either a complete control of bleeding or, at least, intraoperative blood loss was reduced more than twice. Histological investigation of the occluded blood vessels showed that the thrombus was attached to the particles and was reinforced by the porous structure of the polymer. A hypercoagulation reaction was observed in the postembolization period. This allowed correction of the hypocoagulation in the hemostasis system.
Collapse
Affiliation(s)
- D Horák
- Institute of Macromolecular Chemistry, Academy of Sciences of the Czech Republic, Prague, Czech Republic
| | | | | | | | | | | | | | | |
Collapse
|
17
|
Markov AI, Panov VA, Stolpner IM, SHishkina GA. [Repeatedly relapsing massive hemorrhage into the lumen of the common bile duct]. Vestn Khir Im I I Grek 1994; 152:46-7. [PMID: 7701743] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
|
18
|
Abstract
A 37-year-old male with metachromatic leukodystrophy, a congenital cerebroside storage disease strongly associated with benign gallbladder polyps, presented with hemobilia and acalculous cholecystitis due to a long, slender, benign gallbladder polyp. This case report extends the clinical spectrum of gallbladder polyps and demonstrates a novel cause of hemobilia. The unusually long, slender polyp shape may have promoted hemorrhage due to the potential for torsion around a slender stalk. The mechanism of cholecystitis may have been cystic duct obstruction from blood clots or possibly from prolapse by the long, slender polyp into the cystic duct.
Collapse
Affiliation(s)
- M S Cappell
- Department of Medicine, UMDNJ-Robert Wood Johnson Medical School, New Brunswick 08903-0019
| | | | | |
Collapse
|
19
|
Candia P, Lecuna V, Angelosante S, Tombazzi C. [Hemobilia. Its clinical presentation and diagnosis]. G E N 1992; 46:232-5. [PMID: 1340831] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Hemobilia is a rare cause of upper GI bleeding that must be suspect in order to make an early and precise diagnosis, that permits to decrease the high rate of mortality. We present our experience in three cases and analyze the clinical manifestations, diagnostic methods and follow-up.
Collapse
Affiliation(s)
- P Candia
- Hospital Universitario de Caracas
| | | | | | | |
Collapse
|
20
|
Karakaci F, Federici PV, Gonella L, Cirelli M. [Hemobilia. The echographic findings in a dialyzed patient]. Minerva Med 1989; 80:497-500. [PMID: 2664573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
A case of gall bladder haematoma observed echographically in a dialysed patient is reported. The observation was probably related to the administration of anticoagulants during dialysis.
Collapse
Affiliation(s)
- F Karakaci
- Ospedale S. Giovanni Calibita Fatebenefratelli, Isola Tiberina, Roma
| | | | | | | |
Collapse
|
21
|
Inoue J, Nakanishi S, Nomura M, Akagi E, Nakagawa S. [A case of multiple myeloma with hepatocellular carcinoma]. Nihon Naika Gakkai Zasshi 1986; 75:1845-6. [PMID: 3031187 DOI: 10.2169/naika.75.1845] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
|
22
|
Marchal G, Fevery J, Snowball S, van Holsbeeck M, Oyen R, Adisoejoso B, Kerremans R, Gruwez J, Geboes K, Baert A. The sonographic aspects of haemobilia. Clinical and experimental study. Eur J Radiol 1985; 5:211-5. [PMID: 3896797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
The sonographic aspect of the gallbladder in seven cases of haemobilia is analysed. The changes include a diffuse echogenic gallbladder content during the initial stage. Later, irregular shaped inhomogeneous non shadowing masses are seen in the dependent parts of the lumen. This variable aspect was studied in an experimental model by percutaneous injection of blood in the gallbladder of Guinea pigs. The hyperechoic gallbladder content, seen early after injection is a transitory phenomenon which seems related to red cell aggregation before coagulation occurs. During the later stage the intraluminal masses were shown by histology to represent bloodclots. In a patient the observation of such a rapid evolution from diffuse hyper-reflectivity to less reflective masses is strongly suggestive of haemobilia.
Collapse
|
23
|
Abstract
Hemobilia is an uncommonly recognized entity and postoperative acute acalculous cholecystitis is an uncommon clinical entity. Hemorrhagic acalculous cholecystitis causing pancreatitis has apparently not been reported before. We report the case of a multiple trauma victim who, several weeks after his initial injuries, developed acute pancreatitis secondary to hemobilia caused by postoperative hemorrhagic acalculous cholecystitis.
Collapse
|
24
|
Ionescu GO, Tuleaşcă I, Gavriliţă N, Daniil C. [A case of traumatic hemobilia in a child]. Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir 1985; 34:47-51. [PMID: 3158033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
|
25
|
Wilkinson M, Michell M, Alexander G, Ratcliffe J, Larkworthy W, Williams R. Difficulty in diagnosing hemobilia from a hepatic artery aneurysm: value of endoscopic retrograde cholangiography. Gastrointest Radiol 1984; 9:223-6. [PMID: 6468856 DOI: 10.1007/bf01887839] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
A case of hemobilia due to a hepatic artery aneurysm is described. Despite 2 arteriograms and 2 laparotomies, the cause of the bleeding remained undetected until a further selective cannulation of the celiac axis artery was performed. Endoscopic retrograde cholangiography demonstrated that postoperative jaundice was not due to obstruction and outlined the aneurysm within a hepatic duct.
Collapse
|
26
|
Casula G, Scattone S, Cossu L, Simonetti G. Hemobilia from ruptured hepatic artery aneurysm: angiographic demonstration of arteriobiliary fistula in a successfully treated case. Gastrointest Radiol 1984; 9:171-3. [PMID: 6745597 DOI: 10.1007/bf01887828] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
Rupture of a hepatic artery aneurysm into the biliary tree is a rare cause of hemobilia. The dramatic nature of the disease and the difficulties in obtaining a preoperative diagnosis are the main causes of its high mortality rate. Progress in vascular radiology and surgery seems to be an important factor in improving the survival rates in patients with this type of hemobilia. A case of a patient with an aneurysm of the common hepatic artery ruptured into the common bile duct is reported. Preoperative arteriography revealed the aneurysm and the arteriobiliary fistula causing massive hemobilia. The patient was successfully treated by arterial ligation and is symptom free after 2 years.
Collapse
|
27
|
Good AE, Mutchnick MG, Weatherbee L. Duodenal ulcer, hepatic abscesses, and fatal hemobilia with Behcet's syndrome: a case report. Am J Gastroenterol 1982; 77:905-9. [PMID: 7148789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
|
28
|
Egger G, Bosseckert H, Frauchiger JP, Rösch W, Lang G. [Hemobilia]. Schweiz Rundsch Med Prax 1982; 71:1277-80. [PMID: 7134172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
|
29
|
Giubilei D, Cicia S, Petroni R, Genga B. [Hemobilia. Clinico-statistical study]. MINERVA CHIR 1982; 37:1127-33. [PMID: 7121866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
|
30
|
Oleĭnik VS, Muntian VN, Sarvin BA, Sergeenko EA, Treĭvas VS. [Hemobilia after closed injury to the liver]. Vestn Khir Im I I Grek 1982; 128:76-7. [PMID: 7101680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
|
31
|
Abstract
A case of fatal gastrointestinal haemorrhage due to haemobilia as a direct result of cholelithiasis is described. Erosion of a branch of the cystic artery by a stone was shown to be the source of the bleeding at post-mortem. The features of the haemobilia syndrome are discussed.
Collapse
|
32
|
Richter IA, Funston MR, Botha JR. Percutaneous transcatheter control of traumatic haemobilia: A case report. S Afr Med J 1980; 58:39-42. [PMID: 7404155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023] Open
Abstract
A case of traumatic haemobilia following closed injury is presented. A false aneurysm of the right hepatic artery was successfully treated by inadvertent subintimal stripping of the origin of the right hepatic artery.
Collapse
|
33
|
Bova LS, Borovik PI. [Hemobilia in a 9-year-old child]. Klin Khir (1962) 1980:59. [PMID: 7401485] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
|
34
|
Abstract
Hemorrhage into the biliary tract, known as hemobilia, is discussed almost exclusively in the surgical literature. Internists should also be aware of this entity. Two cases of hemobilia from hepatic artery aneurysm that ruptured into the biliary tract are presented. Both patients developed pancreatitis in addition to the classic symptom triad of melena, right upper quadrant pain, and jaundice. In one paitent, hemobilia was established by endoscopy. The authors adivse endoscopy workup of such patients and emphasize that pancreatitis, secondary to pancreatic duct obstruction, may be more common with hemobilia than has been reported.
Collapse
|
35
|
Schubert GE, Klasmeier H, Luis W, Roth A. [Spurious aneurysm of the hepatic artery in the lumen of the gallbladder with hemobilia. Sonographic, angiographic, and pathological-anatomical findings]. ROFO-FORTSCHR RONTG 1980; 132:88-90. [PMID: 6446505 DOI: 10.1055/s-2008-1056529] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
|