scholarly journals Upper Gastrointestinal Bleeding due to Hemobilia

2016 ◽  
Vol 36 (1) ◽  
pp. 100-102
Author(s):  
Ritu Lamichhane ◽  
Binita G. Joshi ◽  
Nishant Wadhwa ◽  
Arun Gupta

Haemobilia is one rare but potentially life threatening complication of delayed haemorrhage following liver trauma which occurs as a result of pathological communication between bile ducts and intra or extrahepatic vessels. We describe here a case of two year old child who presented with upper gastrointestinal bleeding and developed haemobilia in one month duration after blunt abdominal trauma. CT angiography revealed a right hepatic artery pseudo aneurysm as the cause of haemobilia and was successfully treated with right hepatic artery embolisation.J Nepal Paediatr Soc 2016;36(1):100-102.

Open Medicine ◽  
2013 ◽  
Vol 8 (5) ◽  
pp. 665-668
Author(s):  
K. Habib ◽  
G. Williams

AbstractA literature trawl reveals a substantial number of reports on true visceral aneurysms, including the hepatic artery, but only a handful of cases of visceral pseudoaneurysms. The ones in relation to the biliary tree are associated with previous gall bladder surgery and can result in significant gastrointestinal bleeding. There are more than 10 reported cases of cystic artery pseudoaneurysms but a thorough search revealed only two cases in English (1,2) and perhaps one in Japanese literature of right hepatic artery pseudoaneurysm secondary to cholecystitis presenting as massive upper gastrointestinal bleed. We present a probable fourth case in a 52 year old woman with classical clinical/biochemical picture, typical radiological appearance and who underwent successful interventional radiological treatment of this condition.


2019 ◽  
Vol 2 (1) ◽  
pp. 13-14
Author(s):  
Chitchai Rattananukrom ◽  
Wuttiporn Manatsathi

A 29-year-old 11-week pregnant multigravida woman without previous medical history presentedwith sudden onset of hematemesis. This case illustrates the occurrence of a rare complication (rupture of pseudoaneurysm of right hepatic artery inside the biliary system), appearing as upper gastrointestinal bleeding in a pregnant woman. The cause of the rupture is presumably pregnancy-related. We would like to emphasize the presence of pseudoaneurysm of the hepatic artery as a rare cause of gastrointestinal bleeding in pregnancy.   Figure 1 and 2  CTA showed a lobulated contour of saccular aneurysmal dilatation at proximal right hepatic artery, measured about 3.5x3.2x1.6 cm in size and 2.6 mm in neck width; pseudoaneurysm is likely. There is perianeurysmal heterogeneously hyperdense non-enhancing lesion which shows flip-flop phenomenon, measured about 5.5x6.1x5.5 cm in size; Partially thrombosed pseudoaneurysm at proximal right hepatic artery is likely. This lesion causes stretching of the common hepatic artery and portal vein. Hyperdenselesion with flip-flop phenomenon is also seen within dilated bilateral IHD, CHD, CBD and gallbladder; Contrast extravasation into CHD, CBD, 1st, 2nd, 3rd, 4th part of duodenum and jejunum is detected in portovenous phase. hemobilia is suggested.    


2010 ◽  
Vol 76 (7) ◽  
pp. 76-77 ◽  
Author(s):  
Chad B. Johnson ◽  
Mentor Ahmeti ◽  
Alan H. Tyroch ◽  
Marc J. Zuckerman ◽  
M. Nawar Hakim

2008 ◽  
Vol 2 ◽  
pp. CCRPM.S376
Author(s):  
Tasbirul Islam ◽  
George Hines ◽  
Douglas S. Katz ◽  
William Purtil ◽  
Francis Castiller

We present a patient with gastrointestinal bleeding secondary to an aortoduodenal fistula. The patient had undergone an open surgical repair of an abdominal aortic aneurysm five years prior to admission.


2020 ◽  
Vol 74 ◽  
pp. 230-233
Author(s):  
Laura Alonso-Lamberti Rizo ◽  
Carlos Bustamante Recuenco ◽  
Julián Cuesta Pérez ◽  
José Luis Ramos Rodríguez ◽  
Andrea Salazar Carrasco ◽  
...  

2012 ◽  
Vol 19 (2) ◽  
pp. 102
Author(s):  
Yu Jin Chang ◽  
Il Rak Choi ◽  
Jeong Ju Lee ◽  
Won Sub Shin ◽  
Joo Young Jang ◽  
...  

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