Challenges in Diagnosis and Management of Hemobilia

Parvinian, Ahmad; Fletcher, Joel G.; Storm, Andrew C.; Venkatesh, Sudhakar K.; Fidler, Jeff L.; Khandelwal, Ashish

doi:10.1148/rg.2021200192

Cited by 12 publications

(4 citation statements)

References 60 publications

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“…The main cause of hemobilia is recorded to be due to treatment interventions such as percutaneous cholangiography, endoscopic retrograde cholangiopancreatography, biliary tract surgery [ 3 ]. Besides, causes such as trauma and malignant diseases are also considered common causes of hemobilia [ 2 ]. Hemobilia due to chronic cholangitis or biliary obstruction is less common but is also mentioned.…”

Section: Discussionmentioning

confidence: 99%

“…This is a rare but important cause of gastrointestinal bleeding that can be serious and even fatal [ 1 ]. The main causes of hemobilia are caused by diagnostic or treatment interventions, trauma, and cancer [ 2 ]. Chronic obstruction of the biliary tract can cause inflammation, erosion, and leakage of adjacent vascular structures and lead to pseudoaneurysm or hemorrhage [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Rare complications of chronic cholangitis: Pseudoaneurysm of the hepatic artery causing serious gastrointestinal bleeding

Luc,

Thao,

Nghia

et al. 2024

Radiology Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Rare complications of chronic cholangitis: Pseudoaneurysm of the hepatic artery causing serious gastrointestinal bleeding

Luc,

Thao,

Nghia

et al. 2024

Radiology Case Reports

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“…Several endoscopic techniques can be used to achieve hemostasis of inaccessible lesions, such as dilute epinephrine application, fibrin sealant injection, clipping, thermal coagulation, balloon tamponade, and stenting. Endoscopy may precede or replace angiography in patients with hemodynamic stability without imaging evidence of intrahepatic arterial injury, or in those patients with occult upper gastrointestinal bleeding [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Endovascular and Endoscopic Treatment of Hemobilia: A Report of Two Cases

Cardona¹,

Rivero²,

Pinto³

et al. 2022

Cureus

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Hemobilia is a term used to describe bleeding caused by abnormal communication between blood vessels and bile ducts. Some vascular anomalies, such as aneurysms or arterio-biliary fistulas, facilitate the appearance of this type of biliary bleeding. Other causes have been described such as iatrogenic causes secondary to percutaneous procedures, infections, tumors, and trauma. We report two cases of hemobilia. The first one presented with acute biliary bleeding with secondary hypovolemic shock. Bleeding was controlled after percutaneous interventions with a selective embolization technique. The second case was a patient who presented to the emergency department after a fall from his height. During hospitalization, acute cholangitis was documented, associated with hemobilia. A wide papillotomy and biliary duct instrumentation were done with the extraction of a large blood clot. Angiography is the standard for diagnosis and embolization becomes the best tool for the detection and control of vascular abnormalities that can perpetuate bleeding.

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“…Hemobilia is most often manifested by right hypochondrial pain, jaundice, and GI bleeding. Its management is mainly based on endoscopy and interventional radiology 2 3 , with surgical management used after failure of both techniques.…”

Section: Figmentioning

confidence: 99%