Hemobilia a Rare Entity: Case Report and Literature Review

Abstract

That is a condition hemobilia occurs infrequently in clinical practice, have different etiologies. It is defined by the presence of blood in the bile duct. Characterized by the classic triad of jaundice, right upper quadrant pain and upper gastrointestinal bleeding. For diagnosis we can use different complementary studies, imaging and endoscopic. Treatment is surgical Generally. A case of hemobilia in a chronic cholecystitis operated by patient developed obstructive jaundice WHO, with upper gastrointestinal bleeding and abdominal pain. It was as definitive treatment Performed ligation of the right hepatic artery with satisfactory evolution.

Ruptured mycotic hepatic artery aneurysm associated with methicillin sensitive staphylococcal endocarditis

“…The term hemobilia was first used by Sandblom to describe bleeding into biliary system after a sub capsular liver injury in 1948 [7], but this term is now used to describe bleeding into the biliary system from any origin [1]. Bleeding caused by ruptured hepatic artery aneurysm (HAA) into the common bile duct was first reported by Jackson in 1821 [8].…”

“…The term hemobilia describes bleeding into the biliary system from any suggested origin [1]. One cause of hemobilia is rupture of hepatic artery aneurysm that is a rare vascular lesion [2] and can occur due to laparoscopic cholecystectomy, per cutaneous liver biopsy and blunt trauma [3].…”

Haemobilia of a 17 Years Girl Following Road Traffic Accident

“…It occurs mainly due to post trauma and iatrogenic causes, so diagnosis should be suspected from history. This condition is characterized by classic triad of jaundice, pain in right upper abdomen and upper gastrointestinal bleeding 1 But classic triad of haemobilia is absent in 70% cases and in such cases clinical diagnosis is difficult. The CT angiogram is the investigation of choice and therapeutic embolization is treatment option.…”