International Journal of Pharmacology and Clinical Sciences, 2014, 3, 4, 79-82.
Published: December 2014
Type: Case Report
Authors: Nagesh Kamath, Venkatakrishnan Leelakrishnan, Rajendiran Gopalan, and Shiran Shetty
Author(s) affiliations:
Nagesh Kamath1, Venkatakrishnan Leelakrishnan2, Rajendiran Gopalan2, Shiran Shetty1*
1Department of Gastroenterology and Hepatology, Kasturba Medical College, Manipal University, Manipal, Karnataka-576104, India
2Department of Medical Gastroenterology, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu-641004, India
Abstract
A multitude of reasons contribute to gastrointestinal hemorrhage, hemobilia being less frequent. Here we present a case of hematemesis who was later found to have bleeding from the biliary tract that was due to pseudo-aneurysm arising from the hepatic artery. The diagnosis was supported by angiogram. He underwent coil embolization post which bleeding stopped. We present this case since hemobilia is a rare event and classical finding of blood clot on the ampulla on endoscopy is rare as seen in our case.
Keywords: Coil embolization, Hemobilia, Pseudoaneurysm, Right hepatic artery