[Hemobilia secondary to hepatic artery pseudoaneurysm].
Hemobilia is defined as the presence of blood in the biliary tree characterized by the triad: jaundice, right hypochondrium pain (RH) and upper gastrointestinal bleeding (UGB). Among the etiologies highlighted in order of frequency there are: liver trauma (accidental and iatrogenic), inflammatory causes (acute and chronic cholecystitis), infections (cholangitis, liver abscesses, parasitic infections) and vascular diseases (aneurysms, vasculitis, arteriovenous malformations). There exist many complementary tests for the diagnosis of hemobilia, such as imaging (abdominal ultrasound, CT scan, angio CT), videoendoscopy, endoscopic retrograde cholangiopancreatography and angiography, the latter being considered the diagnostic tool and therapeutic modality of choice. We report the case of a 52-year-old male patient with hemobilia secondary to apseudoaneurysm ofthe hepatic artery, along with a review of the existing literature.
Cecilia
C
Panno
Silvia C
SC
Gutiérrez
Ruth
R
Echeverría
Cecilia
C
Garbe
Marcelo
M
Milocco
Hernán
H
Ianniccillo
Marcela
M
Valenzuela
Ariel
A
Cubilla
Fernando
F
Alvarez
Estela
E
Alvarez
D017541:Aneurysm, False / Q000150:complications* / Q000175:diagnosis; D017809:Fatal Outcome; D006431:Hemobilia / Q000175:diagnosis / Q000209:etiology*; D006499:Hepatic Artery; D006801:Humans; D008297:Male; D008875:Middle Aged