Nontraumatic Hemobilia in Children

Bairagi, Anjana; Aronson, Daniël C.

doi:10.1055/s-0034-1372462

Cited by 6 publications

(5 citation statements)

References 19 publications

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“…La anticoagulación perioperatoria se está volviendo más compleja con la llegada de nuevos medicamentos anticoagulantes orales (Tabla 1) [13] . También, se debe completar un cribado parasitario, sobre todo en edades pediátricas [3] .…”

Section: Discussionunclassified

“…La ecografía abdominal sigue siendo el estudio inicial de elección para evaluar el dolor en CSD [20] , pero tiene capacidad limitada para visualizar los conductos biliares, en particular el colédoco distal, y resulta dificultosa en pacientes obesos [2] ; pero permite descartar otras causas (áscaris biliar, abscesos hepáticos [3] . Además, los coágulos a menudo se confunden con cálculos biliares; sin embargo, incluso cuando hay cálculos biliares, todavía puede haber HB concurrente [2] .…”

Section: Discussionunclassified

“…La hemobilia (HB) es la presencia de sangre en o a través del tracto biliar [1.2] o la mezcla de sangre y bilis [2] . Surge cuando existe una fístula entre la circulación esplácnica y la vía biliar, pudiendo originarse en la circulación hepática, los vasos del ligamento hepatoduodenal, el árbol biliar extrahepático, la vesícula biliar y el páncreas [3] . Aunque sigue siendo una causa poco común de hemorragia gastrointestinal superior, puede ser grave, e incluso mortal [1.…”

Section: Introductionunclassified

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Colecistectomía de emergencia con diagnóstico intraoperatorio de hemobilia: reporte de un caso

Ruiz¹,

Chuctaya²,

Vera-Portilla

et al. 2022

Acta Med Peru

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La hemobilia (HB) es la presencia de sangre en o a través del tracto biliar. Las causas más comunes son iatrogénica, traumática, neoplasias y fístulas colangiovenosas o arteriobiliares. Y los cálculos biliares representan del 5-15 % de las causas. Presentamos el caso de una mujer 28 años, sin antecedentes, ni uso de anticoagulantes, diagnosticada inicialmente de colecistitis aguda, que requirió colecistectomía abierta de emergencia. Durante la operación se evidencia un coágulo adherido a la luz de la vesícula y dos cálculos. Confirmando el diagnóstico con los hallazgos histopatológicos. Debido a su similitud clínica, debe considerarse en pacientes con antecedentes de terapia anticoagulante, trauma, malignidad, o hallazgos compatibles con colecistitis alitiásica. Pero puede presentarse en pacientes sin antecedentes y estar asociado a colelitiasis. El tratamiento depende del estado hemodinámico y la etiología. Requiriendo cirugía en caso de colecistitis, ya que conlleva una alta tasa de mortalidad, y perforación vesicular (2-15 %).

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Section: Discussionunclassified

Section: Introductionunclassified

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Colecistectomía de emergencia con diagnóstico intraoperatorio de hemobilia: reporte de un caso

Ruiz¹,

Chuctaya²,

Vera-Portilla

et al. 2022

Acta Med Peru

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“…Other causes of hemobilia in adults include infection or stone [5]. There are some case reports of non-traumatic hemobilia in children that are mentioned in Table 1.…”

Section: Discussionmentioning

confidence: 99%

Hemobilia Induced by Gall Bladder Polyps

Majidi¹

2019

JOJCS

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Hemobilia is an aberrant connection of hepatic biliary and vascular systems. It usually occurs post traumatic, blunt trauma or iatrogenic. Non traumatic hemobilia is a rare occurrence which there are few case reports in children which were due to pancreatic pseudocyst, choledochal cyst, hepatic abscess, hepatic fascioliasis and Meta chromatic leukodystrophy. All reported cases are female except one with von Willebrand's disease. In few patients Meta chromatic leukodystrophy (MLD) was the cause of hemobilia. MLD is a rare neurological disease which is caused by Sulfatids deposition in nervous tissue and it has three subtypes, late infantile, juvenile and adult type. The gall bladder may be involved in the disease course and presents with different symptoms like abdominal pain or hemobilia. We present an eight-year-old girl with late infantile MLD who presented with upper GI bleeding and in evaluation the diagnosis of hemobilia and gall bladder polyps was confirmed.

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“…Review tery and the gallbladder or biliary system, worm infestation of the biliary tract, vasulitic syndromes, and anticoagulant drug overdose and lysosomal disorders, such as metachromatic leukodystrophy, have been some of the reported causes [12,[21][22][23][24] .…”

Section: Introductionmentioning

confidence: 99%

Massive hemobilia in childhood

Celayir¹

2018

Haydarpasa Numune Med J

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Hemobilia is very rare in the pediatric population, and so it continues to be a diagnostic challenge. Hemobilia is an abnormal communication between a vessel of the splanchnic circulation and the biliary system. Treatment planning for hemobilia in children should be performed; therefore, the differential diagnosis is very important in order to find the cause of the upper gastrointestinal bleeding. Awareness of potential causes and the management of upper gastrointestinal bleeding and hemobilia should enable physicians to treat their patients more effectively. This study is a review of potential etiologies of hemobilia and the challenges involved in the diagnosis and surgical management of massive hemobilia, especially in children.

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Nontraumatic Hemobilia in Children

Cited by 6 publications

References 19 publications

Colecistectomía de emergencia con diagnóstico intraoperatorio de hemobilia: reporte de un caso

Colecistectomía de emergencia con diagnóstico intraoperatorio de hemobilia: reporte de un caso

Hemobilia Induced by Gall Bladder Polyps

Massive hemobilia in childhood

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