Hemobilia as the Initial Manifestation of Cholangiocarcinoma in a Patient with Choledochoduodenostomy / 대한소화기학회지
The Korean Journal of Gastroenterology
; : 205-208, 2010.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-12537
Responsible library:
WPRO
ABSTRACT
Hemobilia occurs when injury or disease causes communication between intrahepatic blood vessels and the intrahepatic or extrahepatic biliary system. The causes of hemobilia include trauma, gallstone disease, vascular malformation, inflammation, and biliary or hepatic tumors. Hemobilia could be diagnosed by endoscopy, hepatic angiography, computed tomography, and ultrasonogram. Patients with hemobilia may present with biliary colic, obstructive jaundice and gastrointestinal bleeding. Extrahepatic cholangiocarcinoma usually presents with obstructive jaundice and is one of the unusual cause of hemobilia. We, herein, report a case of hemobilia caused by cholangiocarcinoma in a 69-year-old woman. She had the past history of lung cancer and choledochoduodenostomy due to gallstone. Esophagogastroduodenoscopy revealed a blood clot protruding from the choledochoduodenostomy site and the ulcerative mass in the common bile duct. Pathologic examination of the ulcerative mass was compatible with those of cholangiocarcinoma.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Bile Duct Neoplasms
/
Bile Ducts, Intrahepatic
/
Choledochostomy
/
Endoscopy, Gastrointestinal
/
Cholangiocarcinoma
/
Cholangiopancreatography, Magnetic Resonance
/
Hemobilia
Limits:
Aged
/
Female
/
Humans
Language:
Korean
Journal:
The Korean Journal of Gastroenterology
Year:
2010
Document type:
Article