ABSTRACT
Hemobilia occurred following liver biopsy in a patient with mild hemophilia A, despite adequate factor VIII transfusion. Before major hemorrhage occurred, the diagnosis of hemobilia was confirmed by endoscopy and retrograde cholangiography. Two aneurysms of the hepatic artery were found in the corresponding area of puncture injury. Surgical intervention was necessary for hydrops of the gallbladder with cholecystitis caused by blood clots occluding the cystic duct. The bleeding stopped spontaneously. Early endoscopy and retrograde cholangiography are beneficial in elucidating the exact cause and relationship of clinical signs and symptoms.
Subject(s)
Biopsy, Needle/adverse effects , Hemobilia/etiology , Hemophilia A/complications , Liver/pathology , Adult , Hemobilia/diagnosis , Humans , Male , Time FactorsABSTRACT
Over a period of two years (1977-1979) the diagnosis symptomatic vascular ectasias of the colon was made in 7 patients. The authors describe 3 cases with corresponding illustrations. The diagnostic value of selective mesenteric artery angiography and fiber endoscopy for the diagnosis and treatment is stressed. The possible pathogenesis of the vascular abnormality is discussed with reference to the histology and the literature.
Subject(s)
Angiography , Cecum , Colon , Mesenteric Arteries/diagnostic imaging , Vascular Diseases/diagnostic imaging , Aged , Cecum/blood supply , Colon/blood supply , Colonoscopy , Contrast Media , Dilatation, Pathologic/diagnostic imaging , Fiber Optic Technology , Humans , Intestinal Mucosa/blood supply , Intestinal Mucosa/pathology , Male , Middle Aged , Vascular Diseases/pathologyABSTRACT
100 patients with a known history of choledocholithiasis were selected. The main reasons for performing ERCP were the presence of severe jaundice or insufficient information obtained with intravenous cholangiography. Analysis is made of the various complications due to the presence of common bile duct stones. A surprisingly high incidence of choledochoduodenal fistulas was seen; two types of such fistulas can be recognized. A brief discussion is given of etiological factors involved. ERCP is also very useful in the evaluation of surgical anastomosis and complications due to surgery such as narrowing or complete ligation of the common bile duct. Finally, pancreatitis, another complication of choledocholithiasis, is evaluated with ERCP, showing the importance of reflux from the common bile duct into the pancreatic ducts in the etiology of this condition.
Subject(s)
Endoscopy , Gallstones/diagnostic imaging , Pancreatitis/diagnostic imaging , Aged , Biliary Fistula/diagnostic imaging , Biliary Fistula/etiology , Cholangiography , Duodenal Diseases/diagnostic imaging , Duodenal Diseases/etiology , Female , Gallstones/complications , Humans , Intestinal Fistula/diagnostic imaging , Intestinal Fistula/etiology , Jaundice/diagnostic imaging , Jaundice/etiology , Male , Pancreatitis/etiologyABSTRACT
PIP: Heparomegaly was observed in a 26 year old woman who had used Lyndiol for 5 years. A large tumor which showed rich vascularization was found on each of the hepatic lobes. The case was diagnosed as liver cell adenoma caused by oral contraceptive use.^ieng
