Hemobilia

Schatzki, Stefan C.

doi:10.1148/77.5.717

Cited by 13 publications

(5 citation statements)

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“…Hemobilia is defined as bleeding into the biliary tree and is a rare cause of gastrointestinal hemorrhages and jaundice [7,10]. The most common causes of hemobilia are the rupture of an aneurysm of the hepatic artery and liver trauma such as were present m our patient.…”

Section: Discussionmentioning

confidence: 86%

Chronic cholecystitis following hemobilia due to traumatic intrahepatic injury

et al. 1995

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We report a patient who presented with colicky abdominal pain, hematemesis, and melena following a blunt abdominal injury sustained in an automobile accident. Serologic tests suggested liver dysfunction and computed tomography (CT) revealed dilatation of the intrahepatic bile duct. Duodenoscopy demonstrated hemobilia originating from the duodenal papilla of Vater. Angiography revealed a pseudoaneurysm of the hepatic artery and angiographic embolization sucessfully stopped the hemorrhaging. However, even following the angiographic embolization, the patient remained symptomatic and repeat CT demonstrated thickening of the gallbladder wall and a lesion resembling a blood clot. We strongly suspected cholecystitis and performed a laparoscopic cholecystectomy. Grossly, the resected specimen revealed wall thickening with a congested mucosa and three blood clots; histologically, these changes were consistent with a diagnosis of chronic cholecystitis. The clinical message of this paper is that patients should be observed for this usual complication of hemobilia after liver injury.

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Section: Discussionmentioning

confidence: 86%

Chronic cholecystitis following hemobilia due to traumatic intrahepatic injury

et al. 1995

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“…The traumatic variety (false aneurysm) may be secondary to blunt ab- [2,3,10,11]. The great majority of the non-traumatic aneurysms are either inflammatory (mycotic) or arteriosclerotic in origin [2,10,12,13] and only this latter variety presents occasionally with discrete, cyst-like calcifications in the right upper quadrant [12,14,15].…”

Section: Commentmentioning

confidence: 99%

“…The earliest report is attributed to Glisson (1654) and liver abscesses were the most common entities incriminated [2]. In the 20th century, ruptured hepatic artery aneurysm became more common [2,3] and finally in the last 15 years traumatic hemobilia surpassed all other etiologic agents in frequency. The change is due primarily to the increasing number of cases reported as complica-tions of common diagnostic procedures such as liver biopsies performed in increasing numbers throughout the country [4 7].…”

mentioning

confidence: 99%

Hemobilia: Calcified hepatic artery aneurysm presenting with massive gastrointestinal bleeding

Balthazar

1977

Gastrointest Radiol

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A case of a calcified and ruptured hepatic artery aneurysm presenting with hemobilia and massive gastrointestinal bleeding is reported and illustrated. The clinical diagnosis should be entertained whenever the triad of findings (abdominal colic, gastrointestinal bleeding, elevated bilirubin levels) is present. Angiography is the method of choice in confirming this diagnosis. A short review of the clinical and radiographic syndrome of hemobilia with emphasis on the occurence, significance, and prognosis of hepatic artery aneurysms is presented.

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“…Schatzki (1961) collected over fifty such cases since Owen's original description in 1848. Gordon-Taylor (1943) reported the rupture of a hepatic artery aneurysm into the gall-bladder.…”

Section: Haematocele Of the Gall-bladder*mentioning

confidence: 99%