Hemorrhagic cholecystitis and hemobilia: two infrequent complications of systemic lupus erythematosus

Pérez, Rocío García; Angulo, David Ruíz de; Poveda, María José López; Sánchez, Beatriz Febrero; Navas-Carrillo, Diana; Paricio, Pascual Parrilla

doi:10.4321/s1130-01082011000800009

Cited by 8 publications

(4 citation statements)

References 9 publications

(6 reference statements)

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“…The most commonly reported causes of nontraumatic hemobilia in children are infection (liver abscess, 3 4 parasitic infestation [ascariasis], 5 6 anatomical abnormalities [gastric duplication 7 ], biliary pathology [papillomatosis of the gallbladder, 8 gallbladder polyps 9 ) and bleeding disorders (von Willebrand disease). 10 Other documented nontraumatic causes that have been described in adults include tumors (malignant 11 12 or benign 13 ), systemic lupus erythematosus, 14 sarcoidosis, 15 biliary pathology (cholelithiasis, cholecystitis, choledochal cyst, 16 gallbladder ulcer 17 ), pancreatitis, and warfarin therapy ( Table 1 ).…”

Section: Discussionmentioning

confidence: 99%

Nontraumatic Hemobilia in Children

Bairagi

Aronson

2014

European J Pediatr Surg Rep

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Section: Discussionmentioning

confidence: 99%

Nontraumatic Hemobilia in Children

Bairagi

Aronson

2014

European J Pediatr Surg Rep

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“…Acute haemorrhagic cholecystitis [5,6], rupture of arterial pseudoaneurysm [6-9], fistula between cystic/hepatic artery and gallbladder or biliary system, worm infestations of biliary tract [2], vasulitic syndromes [10], anticoagulant drug overdose [11] and lysosomal disorders like metachromatic leukodystrophy [12] have been some of the reported causes.…”

Section: Discussionmentioning

confidence: 99%

Emergency cholecystectomy and hepatic arterial repair in a patient presenting with haemobilia and massive gastrointestinal haemorrhage due to a spontaneous cystic artery gallbladder fistula masquerading as a pseudoaneurysm

et al. 2013

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BackgroundHaemobilia usually occurs secondary to accidental or iatrogenic hepatobiliary trauma. It can occasionally present with cataclysmal upper gastrointestinal haemorrhage posing as a life threatening emergency. Haemobilia can very rarely be a complication of acute cholecystitis. Here we report a case of haemobilia manifesting as massive gastrointestinal haemorrhage in a patient without any prior history of biliary surgery or intervention and present a brief review of literature.Case presentationA 22 year old male admitted with history suggestive of acute cholecystitis subsequently developed waxing waning jaundice and recurrent episodes of upper gastrointestinal bleed. Endoscopy showed an ulcer in the first part of duodenum with a clot, no active bleed was visible. Angiography was suggestive of a ruptured pseudoaneurysm in the vicinity of the right hepatic artery probably originating from the cystic artery. Coil embolization was tried but the coil dislodged into the right branch of hepatic artery distal to the site of pseudoaneurysm. Review of angiographic video in light of operative findings demonstrated a fistulous communication between cystic artery and gallbladder as the cause, a simultaneous cholecystoduodenal fistula was also noted. Retrograde cholecystectomy, closure of cholecystoduodenal fistula and right hepatic arteriotomy with retrieval of the endo-coil and hepatic arterial repair was performed.ConclusionFistula between the cystic artery and gallbladder has been commonly reported to occur after laparoscopic cholecystectomy. Spontaneous fistulous communication, i.e. in the absence of any prior trauma or intervention, between cystic artery and gallbladder is rare with very few reports in literature. Aetiopathogenesis of the disease, in the context of current literature is reviewed. The diagnostic dilemma posed by the confounding finding of an ulcer in the duodenum, the iconic video angiographic depiction as also the therapeutic challenge of a failed embolization with consequent microcoil migration and primary hepatic arterial repair in the emergency situation is discussed.

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“…They are an uncommon condition associated with chronic abdominal pain, but should be considered in a child with a mass in the portal triad and biliary obstruction. The classic combination of right upper abdominal pain, jaundice, and gastrointestinal bleeding is pathognomonic of hemobilia; however, it has been reported in only 22% of adult patients [1][2][3][4][7][8][9][10][11][12][13][14][15][16][17][18][19][20] . Nontraumatic hemobilia is rare in children, and many patients do not present with the classic triad symptoms of biliary colic, obstructive jaundice, and intestinal bleeding [3,6] .…”

Section: Clinical Presentationmentioning

confidence: 99%

“…The most common causes of nontraumatic hemobilia in children are infections, such as a liver abscess; multiple aneurysms due to parasitic infestation; vascular malformations; anatomical abnormalities, like gastric ectopia and duplication; biliary pathology, such as papillomatosis and polyps of the gallbladder; and bleeding disorders, like von Willebrand disease [7][8][9][10][11][12][13] . Other documented nontraumatic causes that have been described in adults include malignant or benign tumors, systemic lupus erythematosus, sarcoidosis, cholelithiasis, cholecystitis, choledochal cyst, gallbladder ulcer, pancreatitis, and warfarin therapy [14][15][16][17][18][19][20] . Nontraumatic hemobilia associated with cholecystitis is very rare.…”

mentioning

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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Hemorrhagic cholecystitis and hemobilia: two infrequent complications of systemic lupus erythematosus

Cited by 8 publications

References 9 publications

Nontraumatic Hemobilia in Children

Nontraumatic Hemobilia in Children

Emergency cholecystectomy and hepatic arterial repair in a patient presenting with haemobilia and massive gastrointestinal haemorrhage due to a spontaneous cystic artery gallbladder fistula masquerading as a pseudoaneurysm

Massive hemobilia in childhood

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