title: Spontaneous hemobilia in a hemophiliac treated by factor VIII replacement and nasobiliary drainage.
abstract: We report a case of spontaneous hemobilia in a hemophilia patient presenting with classical Sandblom's triad of symptoms. Endoscopic retrograde cholangiography was helpful in establishing the diagnosis. Hemobilia subsided with factor VIII replacement and endoscopic nasobiliary drainage. Endoscopic nasobiliary drainage resulted in lysis of the clots in the biliary tree and relief of obstructive jaundice.
authors.affiliation: Department of Gastroenterology, Nizam's Institute of Medical Sciences, Panjagutta, Hyderabad, India.
authors.forename: D V
authors.initials: DV
authors.lastname: Sreenivas
authors.forename: C
authors.initials: C
authors.lastname: Bharavi
authors.forename: F
authors.initials: F
authors.lastname: Anjum
authors.forename: N
authors.initials: N
authors.lastname: Kumar YR
authors.forename: A
authors.initials: A
authors.lastname: Kumar
mesh_terms: D002779:Cholestasis / Q000209:etiology; D004322:Drainage; D005169:Factor VIII / Q000627:therapeutic use*; D006431:Hemobilia / Q000209:etiology*; D006467:Hemophilia A / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D008297:Male; D008875:Middle Aged
chemical_list: D005169:Factor VIII