Ultrasound of hemobilia: A clinical and experimental study

Pa, Laffey; Jc, Brandon; Sk, Teplick; Haskin, Pamela H.; Pavlides, Constantinos

doi:10.1002/jcu.1870160304

Cited by 9 publications

(5 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One series included ten patients with haemobilia so investigated, of whom eight were reported as having normal bile ducts and the other two as having common bile duct cholelithiasis 175 . The reasons for these ®ndings have been investigated 162,176,177 . Immediately following a bleed into the biliary tract there may be diffuse but high echogenicity similar to that of the liver itself, so that the bile ducts may not be seen at all.…”

Section: Investigationmentioning

confidence: 99%

Haemobilia

Green

Duell

Johnson

et al. 2001

Journal of British Surgery

251

272

View full text Add to dashboard Cite

show abstract

Section: Investigationmentioning

confidence: 99%

Haemobilia

Green

Duell

Johnson

et al. 2001

Journal of British Surgery

251

272

View full text Add to dashboard Cite

show abstract

“…US shows fresh blood as high-echogenic masses, and blood clots as hypoechoic soft-tissue masses. [16][17][18] US findings in intragallbladder hemorrhage have demonstrated abnormalities ranging from scattered intraluminal echoes to evenly distributed hypoechoic areas throughout the gallbladder to an ovoid hypoechoic mass with smooth borders that moved freely within the gallbladder. 19 Such US findings are not specific for hemobilia and entail differential diagnoses of tumefactive sludge, polyps, tumor, purulent debris, and parasitic remnant.…”

Section: Discussionmentioning

confidence: 97%

Posttraumatic intra-gallbladder hemorrhage in a patient with liver cirrhosis

Nishiwaki

Ashida

Nishimura

et al. 1999

Journal of Gastroenterology

View full text Add to dashboard Cite

We report a case of intra-gallbladder hemorrhage secondary to blunt abdominal trauma in a patient with liver cirrhosis. A 58-year-old man was admitted to a local hospital with persistent right upper quadrant abdominal pain. Anemia was detected, and computed tomography (CT) revealed a high-density mass in the gallbladder lumen. He was transferred to our hospital because a gallbladder tumor was suspected. He had a history of habitual alcohol abuse and had sustained blunt abdominal trauma in the right upper quadrant 29 days before admission to our hospital (4 days before to the admission local hospital). The intra-gallbladder high-density mass depicted on the CT scan, observed as non-shadowing low-level echoes, was deemed to represent a blood clot on ultrasonography (US) performed 31 days after the trauma. US-guided percutaneous transhepatic gallbladder aspiration and cholecystography confirmed the presence of an old blood clot in the lumen. Because of the patient's persistent pain, a cholecystectomy was performed. The distended gallbladder was filled with old clotted blood.

show abstract

“…Later, after contraction, the clot conforms to the tubular structure of the duct and may be mistaken for the true lumen. These potential problems limit the diagnostic utility of ultrasound [59,60]. Less specific findings are usually seen on ultrasound in patients with hemobilia including cholelithiasis, a dilated biliary tree, evidence of liver contusion, hepatic tumor, or pseudoaneurysm identified as anechoic mass with flow on color Doppler.…”

Section: Ultrasoundmentioning

confidence: 94%

Hemobilia

Chin

Enns

2010

Curr Gastroenterol Rep

View full text Add to dashboard Cite

Hemobilia is an uncommon medical problem that presents in a varied fashion and is increasingly of iatrogenic origin. The diagnosis of hemobilia needs to be considered in patients presenting with upper gastrointestinal bleeding, particularly if they are jaundiced with abdominal pain in the setting of recent or previous percutaneous liver intervention or abdominal trauma. Multislice computed tomographic angiography is increasingly being used in the investigation, but transcatheter arterial embolization remains the cornerstone of managing those patients requiring intervention. The majority of patients with hemobilia will be managed supportively or with radiologic intervention; most do not require surgical intervention.

show abstract

Ultrasound of hemobilia: A clinical and experimental study

Cited by 9 publications

References 9 publications

Haemobilia

Haemobilia

Posttraumatic intra-gallbladder hemorrhage in a patient with liver cirrhosis

Hemobilia

Contact Info

Product

Resources

About