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Case Report: Unveiling occult bleeding: a rare case of hemobilia diagnosed by peroral cholangioscopy

Xue Peng1, Dengqun Sun1, Minghui Sheng1

  • 1Department of General Surgery, The Chinese People's Armed Police Forces Anhui Provincial Corps Hospital, Hefei, China.

Frontiers in Medicine
|August 27, 2026
PubMed

Hemobilia is a relatively rare clinical condition that can potentially cause lifethreatening gastrointestinal hemorrhage. Its non-specific and variable clinical presentation can result in delayed diagnosis or misdiagnosis. This complexity has rendered both the diagnosis and management of such cases a significant challenge in clinical practice. Herein, we present a case of hemobilia where a novel ultra-thin cholangioscope was employed to directly visualize the biliary tree, including the region proximal to the gallbladder, for diagnostic and therapeutic purposes.

Keywords:
gallbladder pathologygastrointestinal hemorrhagehemobiliaoccult bleedingperoral cholangioscopy

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