title: [Spontaneous hemobilia in the differential diagnosis of upper gastrointestinal hemorrhages].
abstract: Hemobilia, biliary tree hemorrhage, is characterized by melana and/or haematemesis, biliary colic and clinical jaundice. The rare cause of gastrointestinal bleeding probably accounts for quite a large percentage of gastrointestinal hemorrhages of undetermined source. In the evaluation of gastrointestinal bleeding the hepato-biliary system is seldom examined unless trauma has occurred. However, 10-15% of cases with hemobilia are non-traumatic. Three cases are presented illustrating three different causes of non-traumatic hemobilia observed during the last three years. The diagnostic problems and the therapeutic possibilities are described.
mesh_terms: D000368:Aged; D001659:Biliary Tract; D001660:Biliary Tract Diseases; D002779:Cholestasis / Q000209:etiology; D003085:Colic / Q000209:etiology; D003937:Diagnosis, Differential; D004194:Disease / Q000150:complications; D005260:Female; D005706:Gallbladder Neoplasms / Q000150:complications; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000209:etiology; D006396:Hematemesis / Q000209:etiology; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications; D008113:Liver Neoplasms / Q000150:complications; D008297:Male; D008551:Melena / Q000209:etiology
vernacular_title: Die spontane Hämobilie in der Differential-diagnose der oberen Gastrointestinalblutung