Antibiotic-induced iatrogenic hemobilia.
A classical triad of clinical signs defines hemobilia: GI bleeding, right upper quadrant abdominal pain, and jaundice. Although there are a number of causes, it is largely described in conjunction with blunt or penetrating liver trauma and as an iatrogenic complication of therapeutic hepatobiliary interventions. We present a case of antibiotic-induced vitamin K deficiency that resulted in hemobilia complicating acalculous cholecystitis.
Huilgol
V R
VR
University of Wisconsin Medical School-Milwaukee Clinical Campus 53233, USA.
Markus
S L
SL
Vakil
N B
NB
D000368:Aged; D000369:Aged, 80 and over; D000667:Ampicillin / Q000009:adverse effects; D015313:Cefotetan / Q000009:adverse effects*; D002513:Cephamycins / Q000009:adverse effects*; D002764:Cholecystitis / Q000150:complications; D004359:Drug Therapy, Combination / Q000009:adverse effects*; D005260:Female; D006431:Hemobilia / Q000139:chemically induced* / Q000175:diagnosis; D006801:Humans; D007049:Iatrogenic Disease; D013407:Sulbactam / Q000009:adverse effects; D014813:Vitamin K Deficiency / Q000139:chemically induced / Q000175:diagnosis
D002513:Cephamycins; D015313:Cefotetan; C035444:sultamicillin; D000667:Ampicillin; D013407:Sulbactam