Hemobilia: A Rare Case of Upper Gastrointestinal Bleed
U.V.Bharath Sabrish, D.G. Mote, A.Mohan Abhinav, Ananthu Sahadevan, Umesh Mahadev Avarade
Asian Journal of Case Reports in Surgery · pp. 218–221 · Published 17 Apr 2024
Abstract
Hemobilia is a rare but important cause of upper gastrointestinal haemorrhage that refers to bleeding from and/or into the biliary tract. Hepatic artery aneurysmal rupture is one of cause for the hemobilia. The common visceral aneurysm with the highest reported rate of rupture is Hepatic Artery Aneurysm (HAA). Depending on the size of the aneurysm, clinical manifestations include epigastric pain, biliary tract obstruction, gastrointestinal (GI) bleed, aneurysm rupture and death. HAA is a rare disease with an incidence of 0.002%–0.4% of which 50 % is hepatic pseudo aneurysm. In this case report ,we discussed a case of 55years female with complains of abdominal pain for 15days , yellowish discolouration of skin and sclera for 15days and multiple episodes of hematemesis with Malena for 2 days.
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