2023年11月14日 · Primary biliary cholangitis is an autoimmune disease in which the bile ducts are inflamed and slowly destroyed. It previously was called primary biliary cirrhosis. Bile is a fluid made in the liver. It helps with digestion and absorbing certain vitamins. It also helps the body absorb fats and get rid of cholesterol, toxins and worn-out red ...

Hemobilia refers to bleeding from and/or into the biliary tract and is an uncommon but important cause of gastrointestinal hemorrhage. Reports of hemobilia date back to the 1600s, but due to its relative rarity and challenges in diagnosis, only in recent decades has hemobilia been more critically studied.

2016年9月25日 · Clinically significant bleeding may signify an abnormal fistulous communication between a hepatic arterial or portovenous branch and the biliary tree. These brisk bleeds, if drained through the ampulla of Vater, can present with melena, hematemesis, or …

2024年1月30日 · A bile duct obstruction occurs when a blockage or narrowing in your bile ducts prevents bile from flowing as it should. Gallstones are the most common cause. Treatment involves identifying what’s causing the blockage and removing it to prevent serious complications.

Signs of hepatic arterial bleeding include pulsatile bleeding, bright red blood in the drainage bag, hemodynamic instability and significant drop in hematocrit level. Portal vein bleeding manifests with dark blood in the drainage bag without hemodynamic instability.

In approximately one-third of patients, the only symptom is gastrointestinal bleeding, and hemobilia must be remembered as an important differential diagnosis. Bleeding may be scanty or profuse, prolonged or brief, and continuous or intermittent. If bleeding is significant, it may mimic a lower gastrointestinal bleed.

2023年2月22日 · After switching to RDI 2 and washing the bile duct with saline solution, the bleeding point was clearly observed in darker yellow than the surrounding blood, allowing identification of the bleeding point (Figure 2b and Video S1). Hemorrhage after biopsy stopped spontaneously and did not require any additional hemostatic treatment; furthermore ...

2022年10月12日 · Percutaneous transhepatic biliary drainage (PTBD) is an effective procedure for correcting biliary obstructions. It can be performed under ultrasound and fluoroscopic equipment; however, it may entail serious complications, including bleeding, caused by …

2009年12月21日 · Bleeding from the gallbladder or biliary tree (“hemobilia”) is not seen frequently in clinical practice. Historically, hemobilia was predominantly observed in the trauma setting. Both penetrating and blunt trauma have been recognized as a common source of hemobilia since the review by Sandblom [1].

2010年5月5日 · Firstly, case reports reveal that unrecognized bile duct varices may lead to excessive hemorrhage during surgery of bile duct. Secondly, choledocal varices may compress the bile duct lumen and result in obstruction and jaundice. Moreover, bleeding from the bile duct can be fatal and can be spontaneous or secondary to endoscopic procedure.