Hemobilia Presenting as Intermittent Gastrointestinal Hemorrhage With Sincalide Confirmation A Case Report

Spieth, Michael E.; Hou, Calvin C.; Ewing, Patricia D.; Price, D. A.; Kimura, Robyn L.; Kawada, Tom K.

doi:10.1097/00003072-199505000-00002

Cited by 8 publications

(3 citation statements)

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“…Sometimes unsuspected primaries or metastases are identified. [6][7][8] For example, a gallium tumor scan showed a single sacral metastasis that changed an operable carcinoma into an inoperable carcinoma (unpublished), for a patient with lung carcinoma. Other cases have detected the unknown primary tumor from a bone scan in renal soft tissue that was unsuspected.…”

Section: Discussionmentioning

confidence: 99%

Unsuspected Widespread Cardiac Sarcoma in a Child

Spieth

Kasner²,

Prasannan³

2003

Clinical Medicine & Research

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The case of a patient with an undifferentiated metastatic cardiac sarcoma is presented. A thallium-201 tumor study was performed to evaluate lung nodules. Thallium-201 chloride was injected intravenously and whole body images, as well as single photon emission computer tomography (SPECT) imaging of the chest, were obtained and reconstructed. They were displayed in three planes and then reconstructed again in cardiac planes. Multiple unsuspected metastases were found in the lower extremities. Viable tumor was demonstrated in both cerebral hemispheres. The lung nodules were not clearly identified. However, cold areas in the myocardium were detected corresponding to the findings on magnetic resonance imaging (MRI). In retrospect, at least one abdominal metastasis was identified. Whole body tumor imaging plays an important role in finding unsuspected primaries and in staging neoplasms to optimize patient care.

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Section: Discussionmentioning

confidence: 99%

Unsuspected Widespread Cardiac Sarcoma in a Child

Spieth

Kasner²,

Prasannan³

2003

Clinical Medicine & Research

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“…Postcholecystectomy hepatic artery pseudoaneurysm present with hemobilia in approximately 20% of cases [26]; liver transplantation, and pancreaticoduodenectomy are examples of surgeries which can also cause hemobilia [5,26,27]. Non iatrogenic causes of hemobilia have been described blunt liver trauma, stones, inflammatory conditions, parasitic infection, vascular pathology, and neoplasm [27][28][29][30][31][32][33]. Furthermore, previous reviews have found that 50% of bleeding into the biliary tree is intrahepatic; the other 50% is mostly from the extrahepatic bile ducts or gallbladder, and rarely the pancreas [34].…”

Section: Epidemiologymentioning

confidence: 99%

Cholangitis after Hemobilia: A Brief Overview

Muroya¹,

Okuda²,

Arai³

et al. 2021

J Gastroenterol Res

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Hemobilia, defined as the hemorrhage into the biliary tract and blood clots in the bile duct is an uncommon cause of severe cholangitis. The majority of hemobilia are caused by iatrogenic and trauma, gallstones, inflammation, vascular disorders, and malignancy. Hemobilia can cause recurrent obstructive cholangitis and it may bring a fatal patient's condition. The management of major hemobilia consists of hemostasis and reduction of biliary pressure to prevent or cure a cholangitis occurred in succession. Angiography and interventional radiologic intervention is regarded as the gold standard for diagnosis and treatment, respectively. However, the management of the cholangitis after hemobilia was technically challenging requiring multiple therapeutic choices including endoscopic approach. A further research is needed in this area.

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“…CT, magnetic resonance cholangiopancreatography (MRCP), or an endoscopic retrograde cholangiopancreatography (ERCP) can be useful for diagnosis. Selective hepatic artery angiography may reveal the source of bleeding [118,119]. Treatment involves either arterial embolization or surgery [118].…”

Section: Rare Causes Of Ugibmentioning

confidence: 99%

Diagnosis and Management of Non-Variceal Gastrointestinal Hemorrhage: A Review of Current Guidelines and Future Perspectives

Mujtaba

Chawla

Massaad

2020

JCM

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Non-variceal gastrointestinal bleeding (GIB) is a significant cause of mortality and morbidity worldwide which is encountered in the ambulatory and hospital settings. Hemorrhage form the gastrointestinal (GI) tract is categorized as upper GIB, small bowel bleeding (also formerly referred to as obscure GIB) or lower GIB. Although the etiologies of GIB are variable, a strong, consistent risk factor is use of non-steroidal anti-inflammatory drugs. Advances in the endoscopic diagnosis and treatment of GIB have led to improved outcomes. We present an updated review of the current practices regarding the diagnosis and management of non-variceal GIB, and possible future directions.

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Hemobilia Presenting as Intermittent Gastrointestinal Hemorrhage With Sincalide Confirmation A Case Report

Cited by 8 publications

References 0 publications

Unsuspected Widespread Cardiac Sarcoma in a Child

Unsuspected Widespread Cardiac Sarcoma in a Child

Cholangitis after Hemobilia: A Brief Overview

Diagnosis and Management of Non-Variceal Gastrointestinal Hemorrhage: A Review of Current Guidelines and Future Perspectives

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