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Hemobilia: A Rare Cause of Upper Gastrointestinal Bleeding

Year: 2025

Type: article

Abstract: Hemobilia, a rare and potentially life-threatening cause of upper gastrointestinal bleeding, is often precipitated by hepatobiliary trauma or invasive procedures. We present the case of a 43-year-old male with ethanol related decompensated chronic liver disease, who developed severe hemobilia following ERCP and CBD stenting for choledocholithiasis. The patient experienced significant hemorrhagic symptoms, including melena and a rapid decline in hemoglobin, which were ultimately attributed to a hepatic artery pseudoaneurysm. Timely intervention with digital subtraction angiography and superselective arterial embolization resulted in successful management, highlighting the critical role of early diagnosis and interventional radiology in the treatment of severe hemobilia.

Source: Gastroenterology Hepatology and Endoscopy Practice

DOI: 10.4103/ghep.ghep_1_25

Authors: Deepak Kumar, Ratnakar Kini, Prem Kumar, R. Murali

Institution: Government General Hospital

Language: English

Topic: Abdominal vascular conditions and treatments

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W4411713814

FWCI:

Cites: 7

Cited by:

Related to: 10