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An unusual case of haemobilia

Lookup NU author(s): Rakesh Rai, Dr John Rose, Professor Derek Manas

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Abstract

Arterio-biliary fistula is an uncommon cause of haemobilia. We describe a case of right hepatic artery pseudo-aneurysm causing arterio-biliary fistula and presenting as severe melaena and cholangitis. Gastroduodenoscopy failed to establish the exact source of bleeding and hepatic artery angiography and selective embolization of the pseudo-aneurysm successfully controlled the bleeding. Pseudo-aneurysm of the hepatic artery is mostly iatrogenic due to biliary intervention, as demonstrated in this case. Difficulty in diagnosis and management is discussed together with a review of the literature. (C) 2003 Lippincott Williams Wilkins.

Publication metadata

Author(s): Rai R, Rose J, Manas D

Publication type: Article

Publication status: Published

Journal: European Journal of Gastroenterology and Hepatology

Year: 2003

Volume: 15

Issue: 12

Pages: 1357-1359

ISSN (print): 0954-691X

ISSN (electronic): 1473-5687

Publisher: Lippincott Williams & Wilkins

URL: http://dx.doi.org/10.1097/01.meg.0000085493.01212.9b

DOI: 10.1097/01.meg.0000085493.01212.9b

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