Difficulty in diagnosing hemobilia from a hepatic artery aneurysm: value of endoscopic retrograde cholangiography.
A case of hemobilia due to a hepatic artery aneurysm is described. Despite 2 arteriograms and 2 laparotomies, the cause of the bleeding remained undetected until a further selective cannulation of the celiac axis artery was performed. Endoscopic retrograde cholangiography demonstrated that postoperative jaundice was not due to obstruction and outlined the aneurysm within a hepatic duct.
D000328:Adult; D000783:Aneurysm / Q000150:complications / Q000000981:diagnostic imaging*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003937:Diagnosis, Differential; D006431:Hemobilia / Q000000981:diagnostic imaging* / Q000209:etiology / Q000473:pathology; D006499:Hepatic Artery / Q000000981:diagnostic imaging*; D006801:Humans; D007565:Jaundice / Q000000981:diagnostic imaging / Q000209:etiology; D008099:Liver / Q000473:pathology; D008297:Male