Hemobilia after pseudoaneurysm of a right hepatic artery branch.

A 72 year-old male with previous history of coronary heart disease, diabetes and gallbladder lithiasis, regularly medicated with low dose aspirin and oral anti-diabetics drugs, was admitted at the emergency room complaining of severe right upper abdominal quadrant pain and hematemesis. Physical examination: pallor, BP 110/70 mmHg, HR 90 bpm; tender and distended abdomen and normal cardiac-pulmonary auscultation; normal rectal examination. Laboratory data: haemoglobin 7.5 g/dL, platelet count 230.000/μL, INR 1.05, blood-urea nitrogen 12.3 mg/dL, ALT 130 U/L, AST 130 U/L, ALP 424 U/L.