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[Hemobilia due to chronic cholecystitis. A case report]
D A Altmann1, R A de Paula, E A Ferreira
1Departamento de Cirurgia, Faculdade de Medicina de Jundiaí, SP.
Arquivos De Gastroenterologia
|April 1, 1987
Summary
This case study details hemobilia caused by cystic artery corrosion into the gallbladder. Arteriography proved valuable for diagnosis, with cholecystectomy serving as the definitive treatment for this rare condition.
Area of Science:
- Gastroenterology and Hepatology
- Vascular Surgery
Background:
- Hemobilia, or bleeding into the biliary tract, is a rare condition often associated with iatrogenic or traumatic injury.
- Corrosion of the cystic artery leading to a fistula and subsequent hemobilia is an exceptionally uncommon etiology.
Observation:
- A unique case of hemobilia is presented, stemming from the erosion of the cystic artery directly into the gallbladder, forming an arteriovenous fistula.
- The clinical presentation and diagnostic challenges of this rare vascular anomaly within the biliary system are highlighted.
Findings:
- Arteriography was instrumental in accurately diagnosing the fistula between the cystic artery and the gallbladder, visualizing the abnormal blood flow.
- Surgical intervention, specifically cholecystectomy, was successfully employed to ligate the affected artery and resolve the hemobilia.
Implications:
- This case underscores the importance of considering rare vascular etiologies in the differential diagnosis of hemobilia.
- The findings reinforce the diagnostic utility of arteriography and the curative potential of surgical management, such as cholecystectomy, in such complex cases.