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Implies bleeding into biliary tree. Can present as acute upper gastrointestinal(UGI) bleeding. It should be considered in upper abdominal pain presenting with UGI bleeding especially when there is a history of liver injury or instrumentation.
Additional recommended knowledge
Triad of upper abdominal pain, upper gastrointestinal haemorrhage and jaundice is classical but only present in 22% cases.
Combination of OGD, CT scan and angiography depending on clinical situation, bearing in mind that haemobilia may present many days after injury. Cholengiography is performed if there is a percutaneous access or if ERCP is undertaken.
Most bleeding from instrumentation are minor and would settle spontaneously.
|This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Haemobilia". A list of authors is available in Wikipedia.|