1.A Case of Delayed Fatal Hemobilia after Radiofrequency Ablation of Hepatocellular Carcinoma.
Seung Kyu CHUNG ; Baek Gyu JUN ; Sae Hwan LEE ; Suck Ho LEE ; Il Kwun CHUNG ; Hong Soo KIM ; Sang Heum PARK ; Sun Joo KIM
Soonchunhyang Medical Science 2012;18(1):52-55
Radiofrequency ablation (RFA) has been accepted as a safe and effective treatment for unresectable hepatic tumors because of the advantages of a minimally invasive procedure and the local treatment effect. Although RFA can be performed safely in most patients, early and late complications related to mechanical or thermal damage may be observed at follow-up examination. Hemobilia is a very rare complication of RFA and most hemobilia is an immediate complication. However, delayed hemobilia is an even more rare complication after RFA and is known to be a fatal complication. We present a case of delayed fatal hemobilia after RFA for hepatocellular carcinoma.
Carcinoma, Hepatocellular
;
Follow-Up Studies
;
Hemobilia
;
Humans
2.Anticoagulant Therapy-Induced Gallbladder Hemorrhage after Cardiac Valve Replacement.
Seong Ho CHO ; Hae Young LEE ; Hyun Su KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 2015;48(6):432-434
Anticoagulation therapy is essential after cardiac valve surgery. However, spontaneous bleeding remains a major concern during anticoagulation therapy. Spontaneous gallbladder (GB) hemorrhage (hemobilia) is a rare occurrence during standard anticoagulation therapy. This report presents a case of GB hemorrhage that occurred shortly after initiating oral anticoagulant therapy in a patient who had undergone mitral valve replacement surgery.
Anticoagulants
;
Gallbladder*
;
Heart Valves*
;
Hemobilia
;
Hemorrhage*
;
Humans
;
Mitral Valve
3.Clinical Application of Hepatic Arterial Embolization
Jae Hyung PARK ; Hyo Kun LIM ; Jong Beum LEE ; Byung Ihn CHOI ; Man Chung HAN
Journal of the Korean Radiological Society 1985;21(1):31-39
Transcatheter arterial embolization was applied in 7 cases of hepatic disease including hemobilia of various causes and malignant tumors at Department of Radiology, Seoul National University Hospital during recent several years. The embolic materials were autologous blood clot and Gelfoam particle. Successful control of bleeding or devascularization of tumor vessel was made in 6 of the 7 patients. There was no serious complications; however, post embolization syndrome was found including pain, fever, nausea and vomiting in all cases and subsided after a few days. Transcatheter hepatic arterial embolization is suggested to be a safe and effective treatment in control of hemobilia and devascularization of malignant hepatic tumors.
Fever
;
Gelatin Sponge, Absorbable
;
Hemobilia
;
Hemorrhage
;
Humans
;
Nausea
;
Seoul
;
Vomiting
4.A Case of Hemobilia Developing Obstructive Jaundice by Blood Clots in a Patient with Cholangiocarcinoma.
Sae Young LEE ; Sug Goo YOON ; Nam Soo LEE ; Chul Ho PARK ; Joon Seung LEE ; Jin Hong KIM ; Sung Won CHO ; Chan Sup SHIM
Korean Journal of Gastrointestinal Endoscopy 1993;13(2):419-423
Cholangiocarcinoma is a rare tumor among all populations of the world and accounts for less than 2% of cancers found at autopsy and between 10% and 20% of all primary liver cancers. The tumor originates either from the intrahepatic small duct radicles(peripheral type) or the major hepatic ducts at or near the junction of the right and left hepatic ducts(hilar type). Included in the latter are the small intraduct carcinomas arising at the bifurcation of the hepatic ducts. (continue...)
Autopsy
;
Cholangiocarcinoma*
;
Cholangiopancreatography, Endoscopic Retrograde
;
Hemobilia*
;
Hepatic Duct, Common
;
Humans
;
Jaundice, Obstructive*
;
Liver Neoplasms
5.New Device for Dilatation of Percutaneous Biliary Tract.
Sung Gwon KANG ; Myung Gwan LIM ; Hyun Ki YOON ; Joo Won SHIN ; Young Kook CHO ; Chang Hae SUH ; Ho Young SONG ; Kyu Bo SUNG
Journal of the Korean Radiological Society 1997;36(6):971-974
PURPOSE: To evaluate the usefulness of percutaneous transhepatic biliary drainage (PTBD) tract dilatation using a Nipro set. MATERIALS AND METHODS: We dilated 28 percutaneous biliary drainage tracts up to 18F ; 26 procedures involved PTBD, and two, cholecystostomy. A Nipro set was used for dilatation, the purposes of which were stone removal (n=18) and choledochoscopic biposy (n=10). For dilatation, local anesthesia was used in all cases. RESULTS: In all patients, tract dilatation was successful. In 21 of 28 cases, dilatation of the right PTBD tract was involved, and in five of 28, dilatation of the left tract. In two cases, tract dilatation was done in cholecystostomy tracts. Complications encountered were pain (n=17), bradycardia (n=2), hemobilia (n=2), bleeding (n=1)and fever (n=1). CONCLUSION: In choledocoscopy, tract dilatation using a Nipro set is safe and simple.
Anesthesia, Local
;
Biliary Tract*
;
Bradycardia
;
Cholecystostomy
;
Dilatation*
;
Drainage
;
Fever
;
Hemobilia
;
Hemorrhage
;
Humans
6.CA Case of Non-traumatic Hemobilia due to Pseudoaneurysm of the Hepatic Artery.
Gwon Hyun CHO ; Jong Jun LEE ; Sang Kyun YU ; Kwang An KWON ; Dong Kyun PARK ; Yeon Suk KIM ; Yang Suh KU ; Yu Kyung KIM ; Ju Hyun KIM
Korean Journal of Gastrointestinal Endoscopy 2006;33(3):173-177
Hemobilia is a cause of obscure gastrointestinal hemorrhage. Most cases have an iatrogenic or traumatic origin but cases of hemobilia with non-traumatic causes are rare. The non-traumatic causes of hemobilia are inflammation, gallstones, neoplasm and vascular lesions. Currently, various therapeutic options are available for hemobilia, and transarterial embolization is now the first line of intervention used to stop the bleeding of hemobilia, which shows a high success rate of approximately 80% to 100% with a lower morbidity and mortality rate than with surgery. We report a rare case of non-traumatic hemobilia caused by a pseudoaneurysm of the hepatic artery that was successfully treated with transarterial embolization.
Aneurysm, False*
;
Gallstones
;
Gastrointestinal Hemorrhage
;
Hemobilia*
;
Hemorrhage
;
Hepatic Artery*
;
Inflammation
;
Mortality
7.Delayed Severe Hemobilia after Endoscopic Biliary Plastic Stent Insertion.
Sung Hak LEE ; Seung Goun HONG ; Kyoung Yong LEE ; Pyung Kang PARK ; Sung Du KIM ; Mahn LEE ; Dong Wook YU ; Man Yong HONG
Clinical Endoscopy 2016;49(3):303-307
Hemobilia is a rare gastrointestinal bleeding, usually caused by injury to the bile duct. Hemobilia after endoscopic retrograde cholangiopancreatography (ERCP) is generally self-limiting and patients will spontaneously recover, but some severe and fatal hemorrhages have been reported. ERCP-related bowel or bile duct perforation should be managed promptly, according to the type of injury and the status of the patient. We recently experienced a case of late-onset severe hemobilia in which the patient recovered after endoscopic biliary stent insertion. The problem was attributable to ERCP-related bile duct perforation during stone removal, approximately 5 weeks prior to the hemorrhagic episode. The removal of the stent was performed 10 days before the onset of hemobilia. The bleeding was successfully treated by two sessions of transarterial coil embolization.
Bile Ducts
;
Cholangiopancreatography, Endoscopic Retrograde
;
Embolization, Therapeutic
;
Hemobilia*
;
Hemorrhage
;
Humans
;
Plastics*
;
Stents*
8.Life-threatening Hemobilia following Removal of a Biliary Stent in a Patient with a Bile Leak.
Byung Joon PARK ; Tae Hoon LEE ; Sang Heum PARK ; Young Whan JANG ; Yun Mi KWAK ; Woong Hee LEE ; Sang Ho BAE ; Chang Ho KIM
Korean Journal of Pancreas and Biliary Tract 2015;20(2):99-104
Biliary plastic stent induced life-threatening hemobilia is very rare. In this case, hemobilia seriously worsened following removal of a biliary stent, which had been placed for treatment of a postoperative bile leak in a patient who had undergone lateral liver segmentectomy for abdominal trauma. Following placement of the biliary stent, the bile leak improved, but hemobilia and cholangitis developed five days later. To manage the stent malfunction, we removed the biliary stent. However, life-threatening hemobilia developed immediately after removal. Endoscopic hemostasis was impossible; therefore, emergency angiographic embolization and stent graft were performed successfully. In such cases, angiographic embolization and stent-graft placement are effective diagnostic and therapeutic alternatives. When a patient develops hemobilia or cholangitis after biliary stent placement, endoscopists should pay special attention to remove the stent, which might exacerbate hemobilia.
Angiography
;
Bile*
;
Blood Vessel Prosthesis
;
Cholangitis
;
Emergencies
;
Hemobilia*
;
Hemostasis, Endoscopic
;
Humans
;
Liver
;
Mastectomy, Segmental
;
Plastics
;
Stents*
9.Hemorrhagic cholecystitis presenting as obstructive jaundice.
Dong Keun SEOK ; Seung Seok KI ; Joon Ho WANG ; Eon Soo MOON ; Tae Ui LEE
The Korean Journal of Internal Medicine 2013;28(3):384-385
No abstract available.
Aged, 80 and over
;
Cholecystitis/*complications/diagnosis
;
Hemobilia/diagnosis/*etiology
;
Humans
;
Jaundice, Obstructive/etiology
;
Male
10.A Case of Hemobilia Following Laparoscopic Cholecystectomy.
Woo Jung NAM ; Jin Ho LEE ; Nam Cheon CHO ; Byoung Seon RHOE ; Young Joo KIM
Journal of the Korean Surgical Society 1999;56(5):759-763
Laparoscopic cholecystectomy has recently been accepted as a procedure of choice for treating cholelithiasis. Its complication rates were known to be comparable to classical cholecystectomy. Hemobilia is very rare after cholecystectomy but is one of the lethal complications that may occur weeks to months after the operation. Therefore, it is important to keep in mind that hemobilia due to communications between cystic duct and cystic artery or right hepatic artery pseudoaneurysms, can occur in the patients who have history of laparoscopic cholecystectomy when they have upper gastro-intestinal bleeding. Selective hepatic arteriography can be an important diagnostic and therapeutic modality having high success rate (81-96%). We report a case of hemobilia caused by cystic artery pseudoaneurysm following laparoscopic cholecystectomy which was undergone 1 month before admission, and will discuss the mechanism and the treatment of the pseudoaneurysm associated with hemobilia.
Aneurysm, False
;
Angiography
;
Arteries
;
Cholecystectomy
;
Cholecystectomy, Laparoscopic*
;
Cholelithiasis
;
Cystic Duct
;
Hemobilia*
;
Hemorrhage
;
Hepatic Artery
;
Humans