Korean Journal of Gastrointestinal Endoscopy  2006;33(3):173-177

CA Case of Non-traumatic Hemobilia due to Pseudoaneurysm of the Hepatic Artery.

Gwon Hyun CHO 1 ; Jong Jun LEE ; Sang Kyun YU ; Kwang An KWON ; Dong Kyun PARK ; Yeon Suk KIM ; Yang Suh KU ; Yu Kyung KIM ; Ju Hyun KIM

Affiliations

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Keywords

Hemobilia; Pseudoaneurysm; Embolization

Country

Republic of Korea

Language

Korean

Abstract

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.