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A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
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Cholecystitis and hemobilia.

Jessica K Staszak1, David Buechner2, Ryan A Helmick1,3

  • 1Department of Surgery, University of Tennessee Health Science Center, Memphis, TN 38163, USA.

Journal of Surgical Case Reports
|December 21, 2019
PubMed
Summary
This summary is machine-generated.

This case study details a rare instance of hemobilia, or bleeding into the biliary system, caused by an intrahepatic pseudoaneurysm linked to cholecystitis. Management involved complex interventional procedures.

Keywords:
cholecystitisembolizationhemobiliapseudoaneurysm

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Area of Science:

  • Gastroenterology
  • Interventional Radiology
  • Hepatobiliary Surgery

Background:

  • Hemobilia is an uncommon cause of gastrointestinal bleeding.
  • It is frequently associated with trauma, either accidental or iatrogenic.
  • Intrahepatic pseudoaneurysms present a rare etiology for hemobilia.

Purpose of the Study:

  • To report a rare case of hemobilia secondary to an intrahepatic pseudoaneurysm.
  • To discuss the diagnostic and management challenges of this condition.
  • To review the pathophysiology and treatment options for hemobilia.

Main Methods:

  • Case presentation of a 43-year-old male with hemobilia.
  • Diagnostic imaging to identify the intrahepatic pseudoaneurysm.
  • Interventional procedures for managing the hemorrhage.

Main Results:

  • Successful identification of an intrahepatic pseudoaneurysm as the source of hemobilia.
  • Hemostasis achieved through multiple, technically demanding interventional procedures.
  • The patient's condition was managed effectively despite the complexity.

Conclusions:

  • Intrahepatic pseudoaneurysms can cause hemobilia, even without direct trauma.
  • Management of hemobilia requires a multidisciplinary approach and advanced interventional techniques.
  • Reviewing pathophysiology and treatment strategies is crucial for rare gastrointestinal bleeding cases.