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Related Experiment Video

Updated: Jul 16, 2026

Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy
04:41

Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy

Published on: March 10, 2023

Hemobilia complicating a liver abcess.

Neeraj Awasthy1, Monica Juneja, Bibek Talukdar

  • 1Department of Pediatrics, Maulana Azad Medical College and LNJP Hospital, Delhi - 110 029, India. n_awasthy@yahoo.com

Journal of Tropical Pediatrics
|March 28, 2007
PubMed
Summary

This case study highlights a rare instance of hemobilia (bleeding into the biliary tract) in an 11-year-old girl, linked to liver abscesses. Prompt diagnosis and angiography-guided embolization were crucial for managing this severe gastrointestinal hemorrhage.

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Last Updated: Jul 16, 2026

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Area of Science:

  • Gastroenterology
  • Hepatology
  • Interventional Radiology

Background:

  • Hemobilia, a rare cause of upper gastrointestinal hemorrhage, is increasingly recognized due to invasive hepatobiliary procedures.
  • While often iatrogenic, hemobilia associated with liver abscesses is infrequently reported.

Observation:

  • An 11-year-old female presented with shock, abdominal pain, fever, hematemesis, and melena.
  • Initial investigations revealed multiple liver abscesses; endoscopy ruled out upper GI sources.
  • Endoscopic retrograde cholangiography confirmed biliary tract bleeding.

Findings:

  • Angiography identified a communication between biliary radicles and hepatic vessels.
  • Therapeutic embolization was successfully performed via angiography.
  • The patient's presentation was attributed to hemobilia secondary to liver abscesses.

Implications:

  • This case underscores the importance of considering hemobilia in patients with liver abscesses presenting with gastrointestinal bleeding.
  • Timely diagnosis and intervention, including angiography and embolization, are critical for managing severe hemobilia.
  • Further research into non-iatrogenic causes of hemobilia, particularly those linked to hepatic abscesses, is warranted.