HAEMOBILIA

• Bleeding from liver into biliary tree.
• Communication between blood vessel and bile duct.

 

ETIOLOGY—

• Accidental trauma (iatrogenic trauma)
• Malignant liver disease
• Portal hypertension
• Gall stones
• Vascular disease of hepatic artery

 

CLINICAL FEATURES-

• Sandblow/ Quinck’s traid- jaundice, pain and meleana (most common)
• Pain abdomen- colicky
• Haemorrhage

 

INVESTIGATIONS-

1. LFT
2. USG abdomen
3. The diagnosis is confirmed by a side-viewing duodenoscope to identify bleeding from the ampulla 
4. Selective arteriography
5. Upper GI endoscopy (1^st IOC of meleana)

 

TREATMENT-

• Selective arterial embolization (angiographic)
• Open surgical ligation of bleeding vessel

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