Unusual rare case of upper gastrointestinal bleeding (original) (raw)

Hemobilia as a Result of Coagulopathy

The Internet Journal of Gastroenterology, 2012

Hemobilia, upper gastrointestinal tract bleeding originating from within the biliary tract, has become a widely understood and more commonly reported disorder. The first description of hemobilia was in 1654 and is credited to Francis Glisson. (1) The classic triad of hemobilia consisting of right upper quadrant (RUQ) abdominal pain, jaundice, and upper gastrointestinal tract hemorrhage was described by Quincke in 1871. (2) However, the term "hemobilia" was not coined until 1948 when Sandblom published a paper entitled "Hemorrhage into the Biliary Tract Following Trauma: Traumatic Hemobilia." (3) With advancing medical expertise it has become evident that the classic triad of hemobilia only occurs in about 22% of cases. (4) Most cases occur as a result of accidental or iatrogenic blunt or penetrating trauma. It is also described in patient with cholelithiasis, acalculous inflammatory hepatobilary disease, vascular disorders, and neoplasms. (5, 6, 7) We present a case of hemodialysis arteriovenous fistula bleeding complicated by cholangitis and hemobilia.

Hemobilia a Rare Entity: Case Report and Literature Review

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.

Unusual Clinical Presentation of Hemobilia with Recurrent Vasovagal Episodes

Case Reports in Gastroenterology, 2017

Hemobilia is caused by the abnormal connection between a blood vessel and the bile duct, which is usually iatrogenic and caused by hepatobiliary procedures. The classic triad of hemobilia includes biliary colic, obstructive jaundice, and gastrointestinal bleeding. We present the case of an 80-year-old man who had laparoscopic cholecystectomy complicated by hemobilia. He had an unusual presentation of hemobilia in the form of transient vasovagal episodes in addition to abdominal pain and hematochezia.

Hemorrhagic cholecystitis causing hemobilia and common bile duct obstruction

Journal of Surgical Case Reports, 2019

Biliary obstruction is a common problem associated with gallbladder pathology. However, hemorrhagic cholecystitis with hemobilia as the cause is quite rare. We present a case of hemorrhagic cholecystitis in the setting of systemic anticoagulation causing common bile duct obstruction which required endoscopic retrograde cholangiopancreatography (ERCP) for ductal clearance followed by laparoscopic cholecystectomy. The triad of right upper quadrant abdominal pain, jaundice and gastrointestinal bleed should prompt consideration of hemobilia in the setting of biliary obstruction.

Major hemobilia--experience from a specialist unit in a developing country

Tropical gastroenterology : official journal of the Digestive Diseases Foundation

Hemobilia is a rare but potentially life threatening problem, which can be difficult to diagnose and treat. In the last few decades there has been a change in the etiologic spectrum and management of this problem in the West. The aim of this study was to analyze the etiology, clinical features, management and outcome of major hemobilia in a tertiary referral centre from western India. A retrospective analysis was undertaken on 22 patients (16 males, 6 females; mean age 39 years, range 13 to 74) who presented with major hemobilia over a 5-year period. The etiology was iatrogenic in 13 patients (percutaneous transhepatic biliary drainage 8, post laparoscopic cholecystectomy 3, endoscopic retrograde cholangiopancreatography 1, and liver biopsy 1), liver trauma in 6 and liver tumors in 3 patients. Twenty patients presented with gastrointestinal bleeding (melena 20 patients, hemetemesis with melena 8 patients), 5 with jaundice and 8 had fever. Abdominal angiography was performed in 20 pa...