Abstract
A case of a calcified and ruptured hepatic artery aneurysm presenting with hemobilia and massive gastrointestinal bleeding is reported and illustrated. The clinical diagnosis should be entertained whenever the trial of findings (abdominal colic, gastrointestinal bleeding, elevated bilirubin levels) is present. Angiography is the method of choice in confirming this diagnosis. A short review of the clinical and radiographic syndrome of hemobilia with emphasis on the occurence, significance, and prognosis of hepatic artery aneurysms is presented.
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Sandblom P: Hermorrhage into the biliary tract following trauma. Traumatic hemobilia.Surgery 24: 571–586, 1948
Sandblom P:Hemobilia. pp. 5–117. Springfield: Thomas 1972
Schatzki SC: Hemobilia.Radiology 77: 717–721, 1961
Cox EF: Hemobilia following percutaneous needle biopsy of the liver.Arch Surg 94: 198–201, 1967
Levinson JD, Olsen G, Terman JW, Cleaveland CR, Graham CP, Breen KJ: hemobilia secondary to percutaneous liver biopsy.Arch Intern Med 130: 396–400, 1972
Seltzer RA, Rossiter SB, Cooperman LR, Liebowitz D: Hemobilia following needle biopsy of the liver.Am J Roentgenol Radium Ther Nucl Med 127: 1035–1036, 1976
Attiyeh FF, McSweeney J, Fortner JG: Hemobilia complicating needle liver biopsy; Treated with hepatic artery ligation: A case report with arteriographic demonstration.Radiology 118: 559–560, 1976
Sedgwick CE, Coburn RJ: Evaluation of the patient with hemobilia.Surg. Clin North Am 50: 683–690, 1970
Bismuth H: Hemobilia. Editorial —N Engl J Med 288: 617–619, 1973
Berenson MM, Freston JW: Intrahepatic artery aneurysm associated with hemobilia.Gastroenterology 66: 254–259, 1974
Wilkinson GM, Middelsen WP, Berne CJ: The treatment of posttraumatic hemobilia by ligature of the common hepatic artery.Surg Clin North Am 48: 1337–1346, 1968
Koehler RP, Nelson JA, Berenson MM: Massive extra-enteric gastrointestinal bleeding: Angiographic diagnosis.Radiology 119: 41–44, 1976
Hughes JH, Guzman JG, Roberts SS: Massive hemobilia from ruptured hepatic artery aneurysm.JAMA 214: 913–914, 1970
Jarvis L, Hodes PJ: Aneurysm of hepatic artery demonstrated roentgenographically.Am J Roentgenol Radium Ther Nucl Med 72: 1037–1040, 1954
Quinn JL, Martin JF: Hepatic artery aneurysm. Case report.Am J Roentgenol Radium Ther Nucl Med 87: 284–286, 1962
Tetreault AF, Bowen RJ: Hemobilia secondary to intrahepatic aneurysm of the hepatic artery.JAMA 192: 154–156, 1965
Guida PM, Moore SW: Aneurysm of the hepatic artery. Report of 5 cases with a brief review of the previously reported cases.Surgery 60: 299–310, 1966
Mackay AG, Page GH: Hematemesis associated with hemobilia. Report of a case due to an intrahepatic artery aneurysm, with survival.N Engl J Med 260: 468–471, 1959
Doppman J, Shapiro R, Conte M: Aneurysms of the hepatic artery. The importance of angiographic visualization.Am J Roentgenol Radium Ther Nucl Med 90: 578–582, 1963
Boijsen E, Gothlin J, Hallbook T, Sandblom P: Preoperative angiographic diagnosis of bleeding aneurysms of abdominal visceral arteries.Radiology 93: 781–791, 1969
Steinberg I: Diagnosis of aneurysm of hepatic and splenic arteries by intravenous abdominal aortography.N Engl J Med 263: 341–343, 1960
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Balthazar, E.J. Hemobilia: Calcified hepatic artery aneurysm presenting with massive gastrointestinal bleeding. Gastrointest Radiol 2, 71–74 (1977). https://doi.org/10.1007/BF02256469
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DOI: https://doi.org/10.1007/BF02256469