Chávez-García MÁ, García-Romero AE, Rodríguez-Blas AI, Espino-Cortez H

Language: Spanish
References: 13
Page: 157-160
PDF size: 286.91 Kb.

ABSTRACT

Introduction. Bleeding through the bile duct, or hemobilia, is an unusual cause of upper gastrointestinal bleeding and is secondary to abnormal communication between blood vessels and bile ducts. Its etiology is extensive, that originated by an aneurysm of the hepatic artery is extremely rare. Objective. To present an unusual case of hemobilia, successfully treated by selective embolization of the right hepatic artery. Clinical case. Male of 46 years of age with no history of importance, who arrived at ER with hematemesis and mane of three weeks of evolution. Endoscopy documented hemobilia; the studies included angiotomography and arteriography of the hepatic artery, which concluded with the diagnosis of an aneurysm of the right hepatic artery, communicated to the bile duct. Conclusion. The knowledge of this entity is extremely important, since the delay in its diagnosis and treatment raises mortality.

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