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Case Reports
. 2015 Jun;3(1):23-6.
doi: 10.1055/s-0034-1372462. Epub 2014 Jul 30.

Nontraumatic Hemobilia in Children

Anjana Bairagi  1 , Daniel C Aronson  1
Affiliations
Case Reports

Nontraumatic Hemobilia in Children

Anjana Bairagi et al. European J Pediatr Surg Rep. 2015 Jun.

Abstract

Nontraumatic hemobilia is a rare cause of upper gastrointestinal hemorrhage in children. In the developing world, infections and inflammation are the two most common causes. Two patients are presented illustrating the diagnostic difficulties. Following recognition of the site of bleeding the surgery was successful in each case. After a review of the literature, a diagnostic workup is proposed.

Keywords: children; hemobilia; nontraumatic.

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Conflict of interest statement

Conflict of Interest None.

Figures

Fig. 1
Fig. 1
Hemobilia at endoscopy. Note the blood at ampulla of Vater.
Fig. 2
Fig. 2
CTA showing a large pseudoaneurysm arising from the splenic artery with an associated thrombus. ca, celiac axis; CTA, computed tomography angiography.
Fig. 3
Fig. 3
The deroofed cyst containing thrombus.
Fig. 4
Fig. 4
Diagnostic approach for suspected non traumatic hemobilia.
See this image and copyright information in PMC

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