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Unusual Clinical Presentation of Hemobilia with Recurrent Vasovagal Episodes

Abhinav Tiwari1, Tariq Hammad2, Himani Sharma1

  • 1Department of Internal Medicine, University of Toledo Medical Center, Toledo, Ohio, USA.

Case Reports in Gastroenterology
|October 17, 2017
PubMed

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.

Keywords:
HemobiliaLaparoscopic cholecystectomyRecurrent vasovagal episodes

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