HEMOBILIA: REPORT OF A CASE OF MASSIVE GASTROINTESTINAL BLEEDING ORIGINATING FROM A HEPATIC ABSCESS
Authors: J H KARAM, T JACOBS
Journal: Annals of Internal Medicine (1961)

Case Reports1 February 1961HEMOBILIA: REPORT OF A CASE OF MASSIVE GASTROINTESTINAL BLEEDING ORIGINATING FROM A HEPATIC ABSCESSJOHN H. KARAM, M.D., THEODORE JACOBS, M.D.JOHN H. KARAM, M.D.Search for more papers by this author, THEODORE JACOBS, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-54-2-319 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptBleeding into the biliary duct system has been classified into two general types, extrahepatic and intrahepatic, according to the site of hemorrhage.1-3 The intrahepatic type, although rare, has been reported from traumatic rupture of the liver;4-12 vascular lesions of the hepatic artery, including vasculitis,13 hemangiomata,1 and aneurysm;14 neoplasms;15, 16 and yellow atrophy of the liver, both acute17 and subacute.1In 1948 Sandblom,4in an excellent clinical review, introduced the term "hemobilia" to describe bleeding into the biliary tract. He noted that hemobilia, regardless of cause, is usually manifested by severe pain in the upper right quadrant of the abdomen, suggesting...Bibliography1. Lichtman SS: Gastro-intestinal bleeding in disease of the liver and biliary tract. Amer. J. Dig. Dis. 3: 439, 1936. CrossrefGoogle Scholar2. KerrMenshGould HHMEA: Biliary tract hemorrhage: a source of massive gastrointestinal bleeding. Ann. Surg. 131: 790, 1950. CrossrefMedlineGoogle Scholar3. Manfredi DH: Gastrointestinal hemorrhage originating in the biliary tract. New York J. Med. 58: 2397, 1958. MedlineGoogle Scholar4. Sandblom P: Hemorrhage into the biliary tract following trauma; "traumatic hemobilia." Surgery 24: 571, 1948. MedlineGoogle Scholar5. BurnettRosemondCaswellHall WEGPHTJH: Unusual case of gastrointestinal hemorrhage. Surgery 26: 1044, 1949. MedlineGoogle Scholar6. EkströmHagberg GS: Budd-Chiari's syndrome caused by haematoma of the liver; report of one case treated surgically. Acta chir. Scandinav. 112: 107, 1957. 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CrossrefMedlineGoogle Scholar14. MackayPage AGHG: Hematemesis associated with hemobilia; report of a case due to an intrahepatic-artery aneurysm, with survival. New Engl. J. Med. 260: 468, 1959. CrossrefMedlineGoogle Scholar15. MastStreamer WHCW: Primary carcinoma of liver with spontaneous rupture, J. A. M. A. 100: 1684, 1933. CrossrefGoogle Scholar16. Rudström P: Hemobilia in malignant tumours of the liver. Acta chir. Scandinav. 101: 243, 1951. MedlineGoogle Scholar17. Rolleston HD: Diseases of the liver, gallbladder and bile ducts. 2nd Ed., 1912, Macmillan & Co., Ltd., London, p. 575. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: San Francisco, California*Received for publication October 5, 1959.From the Department of Medicine, University of California School of Medicine, San Francisco, California.†Present address: Postgraduate Medical School, London, England.‡Present address: Captain Theodore Jacobs (MC), 29457H, 3970th USAF Hospital (Box 4326), APO 283, New York, N. Y.Requests for reprints should be addressed to the Editorial Office, Department of Medicine, University of California Medical Center, San Francisco 22, California. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byDiagnosis of haemobilia by duodenoscopyMassive hemobilia and acalculous cholecystites due to benign gallbaldder polypHämobilieAcalculous hemorrhagic cholecystitisDiagnosis of haemobilia by duodenoscopyExtrahepatic biliary tract obstruction secondary to a hepatoma-containing blood clot in the common bile ductFASCIOLIASIS CAUSING JAUNDICE AND INTESTINAL BLEEDINGEvaluation of the Patient With HemobiliaPyogenic liver abscess.Haemobilia as a Cause of Gastro-intestinal HaemorrhageUlceration of the Common Bile Duct as a Cause of Hemobilia 1 February 1961Volume 54, Issue 2Page: 319-326KeywordsAbdominal painAbscessesApolipoproteinsArteriesAtrophyBiliary systemHemorrhageLesionsLiver ePublished: 1 December 2008 Issue Published: 1 February 1961 PDF downloadLoading ...