Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
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.

PubMed Disclaimer

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

References

    1. Green M HA, Duell R M, Johnson C D, Jamieson N V. Haemobilia. Br J Surg. 2001;88(6):773–786. - PubMed
    1. Wani N A, Gojwari T A, Khan N A, Kosar T L. Hemobilia in a child due to right hepatic artery pseudoaneurysm: multidetector-row computed tomography demonstration. Saudi J Gastroenterol. 2011;17(2):152–154. - PMC - PubMed
    1. Khalil A, Chadha V, Mandapati R. et al.Hemobilia in a child with liver abscess. J Pediatr Gastroenterol Nutr. 1991;12(1):136–138. - PubMed
    1. Awasthy N, Juneja M, Talukdar B, Puri A S. Hemobilia complicating a liver abcess. J Trop Pediatr. 2007;53(4):278–279. - PubMed
    1. Lloyd D A. Hepatobiliary ascariasis in children. Surg Annu. 1982;14:277–297. - PubMed

Publication types