Hemobilia from Biliary Angiodysplasia Diagnosed with Cholangioscopy.
Biliary angiodysplasia is extremely rare. Our background search revealed only a few case reports in the English literature. We present a case of angiodysplasia of the proximal common bile duct in a patient with subacute upper gastrointestinal bleeding and symptomatic anemia. A standard esophagogastroduodenoscopy with subsequent dedicated duodenoscopy revealed blood-stained bile draining from the major ampulla orifice. A contrast-enhanced magnetic resonance cholangiopancreatography was unrevealing for any pancreaticobiliary pathology. The patient subsequently underwent an endoscopic retrograde cholangiopancreatography and SpyGlass® cholangioscopy, which demonstrated intermittent bleeding from angiodysplasia in the proximal common bile duct.
Department of Medicine, Crozer Chester Medical Center, Chester, PA.
Kap
K
Sum Foong
Department of Radiology, Washington University, St. Louis, MO.
Ashley
A
Lee
Department of Medicine, Crozer Chester Medical Center, Chester, PA.
Shaismy
S
Kudakachira
Division of Gastroenterology, Crozer Chester Medical Center, Chester, PA.
Hemchand
H
Ramberan