title: Jaundice and life-threatening hemobilia: an uncommon presentation of choledochal cyst.
abstract: Hemobilia with jaundice as a result of cholestasis and bleeding from choledochal cyst is uncommon. Ascertaining the diagnosis is often challenging and delayed diagnosis can lead to significant consequences due to hemodynamic instability, particularly in elderly patients. Although surgery remains the definitive treatment modality, interventional radiology for hemostasis has been increasingly recognized as an option. In this manuscript, we described two Malaysian cases of jaundice and hemobilia associated with choledochal cysts and the challenges related with clinical diagnosis and management.
authors: Department of Surgery, University of Malaya, Kuala Lumpur, Malaysia. kohps2000@yahoo.com
authors: Peng Soon
authors: PS
authors: Koh
authors: Boon Koon
authors: BK
authors: Yoong
authors: Anushya
authors: A
authors: Vijayananthan
authors: Ouzreiah
authors: O
authors: Nawawi
authors: Sanjiv
authors: S
authors: Mahadeva
mesh_terms: D000328:Adult; D000368:Aged; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods; D015529:Choledochal Cyst / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006431:Hemobilia / Q000209:etiology*; D006801:Humans; D007565:Jaundice / Q000209:etiology*; D008297:Male; D014057:Tomography, X-Ray Computed
keywords: choledochal cyst; gastrointestinal hemorrhage; hemobilia; jaundice; radiological embolization