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Korean J Pancreas Biliary Tract > Volume 18(1):2013 > Article
The Korean Journal of Pancreas and Biliary Tract 2013;18(1):7-13. doi: https://doi.org/10.15279/kpba.2013.18.1.7
혈액담즙증 환자의 원인, 임상 소견과 치료 방법에 대한 분석
김태균, 김동욱, 송근암, 김광하, 허정, 서주완, 오상보, 고정희
부산대학교 의학전문대학원 내과학교실
Analysis of Etiology, Clinical Feature and Treatment in Patient with Hemobilia
Tae Kyun Kim, Dong Uk Kim, Geun Am Song, Gwang Ha Kim, Jeong Heo, Joo Wan Seo, Sang Bo Oh, Jung Hee Koh
Department of Internal medicine, Pusan National University School of Medicine, Busan, Korea
Backgrounds/Aims: Hemobilia is a rare condition that may be difficult to recognized. However, it is none the less important to include in the differential diagnosis of gastrointestinal bleeding. With the increasing use of percutaneous liver procedures, there has been increased in the incidence of iatrogenic hemobilia. The purpose of this study was to illustrate the present incidence of iatrogenic hemobilia and to identify the etiology, clinical manifestations and therapy of Korean patients with hemobilia. Methods : In this study, we reviewed 53 patients with hemobilia diagnosed definitely, for analyzing recent causes, presentations and treatment. In addition, we investigated prevalence of iatrogenic causes and frequency of taking antiplatelet agents. Results : In result, we found out that the most common cause was iatrogenic hemobilia and malignancy including hepatocellular carcinoma was followed. All symptoms of Quinke’s triad were presented in up to 19 %. In the case of minor bleeding, conservative therapy was enough to recover and severe cases needed angioembolization or surgery.
Further investigation should be studied about how to prevent iatrogenic cause, because hemobilia due to percutaneous procedure continues to increase.
Keywords: Hemobilia
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