title: [Hemobilia: a case, complications, follow-up].
abstract: BACKGROUND
  Therapy implies beneficial and adverse reactions and consequences presented in this patient who hand hemobilia syndrome and life-threatening systemic complications.
  
  
  METHODS
  Clinical retrospective study of a 59-year-old female with multiparity, blood type A Rh (-) who was admitted in clinical condition with syndromatic diagnosis of mixed shock, acute abdomen, obstructive and/or hepatocellular jaundice, pre-renal hyperazohemia with olyguria leading to multiple organ failure requiring surgical and intensive care treatment.
  
  
  CONCLUSIONS
  In this case, life-threatening complications due to reanimation from state of shock delayed urgent laparotomy for acute abdomen finding and treating hemobilia with cholecistostomy with long-term external biliary drainage. In multiple organ and system failure syndrome, it was important to identify, prevent, and/or treat physiopathologic complications with available resources to recover patient health patient. We made observations concerning recovery and follow-up.
authors.affiliation: UNAM, Guanajuato.
authors.forename: Raúl
authors.initials: R
authors.lastname: Hernández-González
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D006431:Hemobilia / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies