Hemobilia caused by a ruptured hepatic cyst: a case report

Journal of Medical Case Reports
Viplove SenadhiSudhir Dutta

Abstract

Hemobilia is a rare cause of upper gastrointestinal bleeding. More than 50% of hemobilia cases are related to iatrogenic trauma from hepatobiliary procedures, and needle biopsy of the liver represents the most common cause. A minority of hemobilia cases are due to hepatobiliary disorders such as cholangitis, hepatobiliary cancers, choledocholithiasis, and vascular abnormalities in the liver. The classic presentation of hemobilia is the triad of right upper quadrant (biliary) pain, obstructive jaundice, and upper gastrointestinal bleeding. We report a rare case of hemobilia caused by a spontaneous hepatic cyst rupture, where our patient presented without the classical symptoms, in the absence of therapeutic or pathological coagulopathy, and in the absence of spontaneous or iatrogenic trauma. A 91-year-old African-American woman was referred to our out-patient gastroenterology clinic for evaluation of mild epigastric pain and intermittent melena. An abdominal computed tomography scan was remarkable for multiple hepatic cysts. Esophagogastroduodenoscopy revealed multiple blood clots at the ampulla of Vater. Endoscopic retrograde cholangiopancreatography showed a single 18 mm-sized filling defect in the common hepatic duct wall at ...Continue Reading

References

May 1, 1991·Cardiovascular and Interventional Radiology·S K StricklandJ J Raves
Feb 1, 1984·World Journal of Surgery·P SandblomV Mirkovitch
Aug 5, 1999·Journal of Gastroenterology·H ShimojiY Muto
Jan 29, 2000·Gastrointestinal Endoscopy·R T EllingtonW V Harford
Mar 28, 2003·Acta chirurgica Belgica·G MaralcanI Sanal
Apr 5, 2003·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Wing Tai SiuMichael Ka Wah Li
Jun 18, 2003·Surgical Endoscopy·O DogruE Aygen
Mar 4, 2005·Psycho-oncology·S R RiedijkA Tibben
Jul 20, 2007·Acta chirurgica Iugoslavica·D GalunM Milićević
Feb 18, 2009·Cardiovascular and Interventional Radiology·Irfan AhmedMatthew Matson
Oct 22, 2009·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Sung Bum ChoYoung Eun Joo
Oct 31, 2009·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Mathijs P HendriksJoost P H Drenth
Dec 5, 2009·Journal of the American College of Surgeons·Oscar M MazzaEduardo de Santibañes
Feb 9, 2010·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·P OnoriE Gaudio
Mar 9, 2010·Parasitology International·Slavisa M DjuricicZorica V Vasiljevic

❮ Previous
Next ❯

Citations

Nov 21, 2012·Briefings in Functional Genomics·Merse E Gáspár, Peter Csermely
Jul 5, 2015·Gastrointestinal Endoscopy Clinics of North America·Keyur ParikhRichard C K Wong
Mar 8, 2013·International Journal of Surgery Case Reports·Andreas LuhmannJo-Etienne Abela
Jun 1, 2017·BMJ Case Reports·Cristina TeixeiraIsabelle Cremers
Jul 16, 2017·BMJ Case Reports·Rotimi AyoolaRenee Williams
Apr 2, 2019·Liver International : Official Journal of the International Association for the Study of the Liver·Alex ZhornitskiyJames H Tabibian
Aug 9, 2012·European Journal of Gastroenterology & Hepatology·Katharina Cichon, Corinna A Schön
Jun 24, 2017·Journal of Clinical Gastroenterology·Scott CathcartMicheal Schuster
May 4, 2021·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Ahmad ParvinianAshish R Khandelwal
Jun 5, 2021·BMJ Case Reports·Sudharshan MahalingamAmuthabharathi Mohan
May 29, 2021·Journal of Minimal Access Surgery·Charalampos LampropoulosIoannis Kehagias

❮ Previous
Next ❯

Methods Mentioned

BETA
biopsy
imaging techniques

Related Concepts

Related Feeds

Ascariasis

Ascariasis is a helminthic infection of global distribution with more than 1.4 billion persons infected throughout the world. Here is the latest research.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.

Cancer Imaging

Imaging techniques, including CT and MR, have become essential to tumor detection, diagnosis, and monitoring. Here is the latest research on cancer imaging.

Ascariasis (ASM)

Ascariasis is a helminthic infection of global distribution with more than 1.4 billion persons infected throughout the world. Here is the latest research.