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Difficulty in diagnosing hemobilia from a hepatic artery aneurysm: Value of endoscopic retrograde cholangiography

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Abstract

A case of hemobilia due to a hepatic artery aneurysm is described. Despite 2 arteriograms and 2 laparotomies, the cause of the bleeding remained undetected until a further selective cannulation of the celiac axis artery was performed. Endoscopic retrograde cholangiography demonstrated that postoperative jaundice was not due to obstruction and outlined the aneurysm within a hepatic duct.

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References

  1. Sandblom PH:Hemobilia (Biliary Tract Haemorrhage): History, Pathology, Diagnosis, Treatment. Springfield: Charles C. Thomas, 1972

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  3. Carr-Locke DL, Westwood CA: Endoscopy and endoscopic retrograde cholangiopancreatography findings in traumatic liver injury and hemobilia.Am J Gastroenterol 73:162–164, 1980

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Authors and Affiliations

  1. The Liver Unit and Department of Radiology, King's College Hospital, London, England

    Mark Wilkinson, Michael Michell, Graeme Alexander, John Ratcliffe, William Larkworthy &  Roger Williams

  2. Liver Unit, Cromwell Hospital, London, England

    Mark Wilkinson, Michael Michell, Graeme Alexander, John Ratcliffe, William Larkworthy &  Roger Williams

  3. King Faisal Specialist Hospital, Riyadh, Saudi Arabia

    Mark Wilkinson, Michael Michell, Graeme Alexander, John Ratcliffe, William Larkworthy &  Roger Williams

Authors
  1. Mark Wilkinson
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  2. Michael Michell
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  3. Graeme Alexander
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  4. John Ratcliffe
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  5. William Larkworthy
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  6. Roger Williams
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Wilkinson, M., Michell, M., Alexander, G. et al. Difficulty in diagnosing hemobilia from a hepatic artery aneurysm: Value of endoscopic retrograde cholangiography. Gastrointest Radiol 9, 223–226 (1984). https://doi.org/10.1007/BF01887839

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  • DOI: https://doi.org/10.1007/BF01887839

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