title: [Hemobilia in cholecystolithiasis as a rare cause of massive upper gastrointestinal hemorrhage].
abstract: Haemobilia is defined as bleeding into the hepatobiliary system caused by a pathologic connection between blood vessels and biliary ducts. A rare cause of haemobilia is gallstone disease, with only 52 reported cases in the literature. The haemobilia is characterised by the classical triad: jaundice, colicky pain in the right upper quadrant and signs of gastrointestinal bleeding. Diagnosis can be made with endoscopic procedures and with angiography of the coeliac trunk, which has the highest sensitivity in localisation of bleeding source. The therapy of choice is cholecystectomy. We report the case of a patient with massive gastrointestinal haemorrhage caused by a solitary gallstone and present the diagnostic and therapeutic management of this disease, which is accompanied by a high mortality.
authors.affiliation: Abteilung für Allgemein-, Gefäss- und Thoraxchirurgie, Universitätsklinikum Benjamin Franklin, FU Berlin.
authors.forename: J P
authors.initials: JP
authors.lastname: Ritz
authors.forename: C T
authors.initials: CT
authors.lastname: Germer
authors.forename: H J
authors.initials: HJ
authors.lastname: Buhr
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000792:Angiography; D002769:Cholelithiasis / Q000150:complications* / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D005704:Gallbladder / Q000098:blood supply / Q000473:pathology; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006431:Hemobilia / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male