Fact-sheet: Hemobilia


Updated on 09/28/2018 at 11:01 AM

Note : 0/10

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Definition

Presence of blood in the bile ducts. Etiologies: - Iatrogenic: surgery or percutaneous procedure - Traumatic - Vascular malformation - Tumoral (HCC or metastasis to gallbladder) - Abscess - Gallstone disease

Clinical features

Findings present in approximately 50% of cases: - melena - jaundice - abdominal pain

Ultrasound

Gallbladder distension Hyperechogenicity within the bile ducts

CT

Hyperdense clot within the bile ducts Useful for etiologic diagnosis (see etiologies above)