Hemorrhage in the gallbladder (GB) is usually associated with cholecystitis, GB neoplasm, trauma, hemobilia, and cystic artery aneurysm. Our patient had not experienced any previous abdominal trauma, and GB hemorrhage was unlikely to result from cholecystitis or bleeding diathesis. A 55-year-old male was admitted because of right upper quadrant pain. Both prothrombin time and partial thrombopla...

INTRODUCTION Hemobilia represents only 6% of all causes of upper gastrointestinal bleeding. PRESENTATION OF CASE We report a rare case of a bleeding pseudoaneurysm of the cystic artery, due to a re-activation of a chronic cholecystitis, which arose with a mixed symptomatology: jaundices and hematemesis. DISCUSSION The rarity of our patient is increased for some vascular anatomic variations ...

Although transjugular intrahepatic portosystemic shunts are most frequently used for the management of portal hypertension, the surgical approach is preferred for symptomatic portal cavernoma cholangiopathy. We present the case of a 25-year old female patient with a portal cavernoma secondary to catheterization of the umbilical vein at birth. She had had two episodes of esophageal variceal blee...

Gallbladder (GB) bleeding is very rare and it is caused by cystic artery aneurysm and rupture, or GB wall rupture. For GB rupture, the typical findings are positive Murphy's sign and jaundice. GB bleeding mostly presented as hemobilia. This is the first case presented with severe GI bleeding because of GB rupture-related GB bleeding. After comparing computed tomography, one gallstone spillage w...

BACKGROUND/AIMS To evaluate the technical feasibility and clinical efficacy of double endoscopic nasobiliary drainage (ENBD) as a new method of draining multiple bile duct obstructions. METHODS A total of 38 patients who underwent double ENBD between January 2004 and February 2010 at the Asan Medical Center were retrospectively analyzed. We evaluated indications, laboratory results, and the c...

© SCVIR, 1995 THE incidence of complications following fine-needle (external diameter < 1 mm; 20-23-gauge) aspiration biopsies (FNABs) in the abdomen is low, with a reported rate of 0.55%. Major complications including bile peritonitis, bacterial peritonitis, intrahepatic hematoma, tumor seeding, and death have been reported to occur in 0.003%-0.1% of cases (1,2). Blood may enter the biliary sy...

Between 2001 and 2005, nine patients with liver hemorrhage underwent non-surgical embolotherapy. There were six males and three females, ranging in age from 9 to 58 years. All patients were symptomatic with hypotension and decreasing hematocrit. Causes of liver hemorrhage included liver laceration following blunt abdominal injury (2 patients), pseudoaneurysms of hepatic artery following blunt a...

Iatrogenic injuries to hepatic artery system may evolve to pseudoaneurysms in the late postoperative period. Although rare, pseudoaneurysms after laparoscopic cholecystectomy can occur, are a serious clinical entity and very difficult to detect. We present a case of iatrogenic pseudoaneurysm after laparoscopic cholecystectomy. The onset of symptoms occurred 5 days after an uneventful operation....