Massive Bleeding Hemobilia Occurred in Patient with Hepatocellular Carcinoma / 대한소화기학회지
The Korean Journal of Gastroenterology
;
: 46-49, 2013.
Artigo
em Coreano
| WPRIM
| ID: wpr-156213
ABSTRACT
Massive bleeding hemobilia occurs rarely in patients with hepatocellular carcinoma (HCC) without any invasive procedure. Upper gastrointestinal bleeding in patient with cirrhosis and abdominal pain with progressive jaundice in patient with HCC were usually thought as variceal bleeding and HCC progression respectively. We experienced recently massive bleeding hemobilia in patient with HCC who was a 73-year old man and showed sudden abdominal pain, jaundice and hematochezia. He had alcoholic cirrhosis and history of variceal bleeding. One year ago, he was diagnosed as HCC and treated with transarterial chemoembolization periodically. Sudden right upper abdominal pain occurred then subsided with onset of hemotochezia. Computed tomography showed bile duct thrombosis spreading in the intrahepatic and extrahepatic ducts, while an ampulla of vater bleeding was observed during duodenoscopy. Hemobilia could be one of the causes of massive bleeding in patients with cirrhosis and HCC especially when they had sudden abdominal pain and abrupt elevation of bilirubin.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Trombose
/
Ductos Biliares Intra-Hepáticos
/
Bilirrubina
/
Índice de Gravidade de Doença
/
Tomografia Computadorizada por Raios X
/
Duodenoscopia
/
Ductos Biliares Extra-Hepáticos
/
Carcinoma Hepatocelular
/
Embolização Terapêutica
/
Hemobilia
Limite:
Idoso
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
The Korean Journal of Gastroenterology
Ano de publicação:
2013
Tipo de documento:
Artigo
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