[Hemobilia caused by gallbladder's polyps in liver cirrhosis].
Extremely unusual cause of hemobilia from polypus of the Gallbladder in 29 years old patient with liver cirrhosis is reported. The patient died with clinical features of hepatic encephalopathy. The olygosympthomatic clinical course is the reason for unrecognized hemobilia. The ultrasonographic diagnosis was "cholelithiasis" instead of gallbladder's polypus and endoscopy established large ulcer in the duodenum. The role of hemorrhagic diathesis in chronic liver disease is discussed. As is the extent of liver cirrhosis, cholestasis and hepatic encephalopathy deterioration caused by bleeding. Whether timely cholecystectomy could change the course and prognosis of chronic liver disease is also discussed.
Krŭstev
N
N
Mendizova
A
A
Velev
M
M
D000328:Adult; D017809:Fatal Outcome; D005706:Gallbladder Neoplasms / Q000150:complications*; D006431:Hemobilia / Q000209:etiology*; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications*; D008297:Male; D011127:Polyps / Q000150:complications*