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Stent-graft placement for treatment of massive hemobilia caused by porto-biliary fistula

Takahashi , Sato Y, Hara K, Okuno N, Dejima I, Murata S, Hasegawa T, Chatani S, Onaya H, Inaba Y

Proton beam therapy is a type of radiation therapy and a promising modality for cancer management because it involves few adverse effects and high therapeutic efficacy. However, there are reports...
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Coil embolization of ruptured intrahepatic pseudoaneurysm through percutaneous transhepatic biliary drainage

An JY, Lee JS, Kim DR, Jang JY, Jung HY, Park JH, Jin SS

A 75-year-old man with chronic cholangitis and a common bile duct stone that was not previously identified was admitted for right upper quadrant pain. Acute cholecystitis with cholangitis was suspected...
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Pancreaticoduodenal artery pseudoaneurysm-induced hemobilia caused by a plastic biliary stent

Kim HJ

SUMMARY OF EVENT: Melena with abdominal pain were developed in a patient who had undergone endoscopic retrograde cholangiopancreatography (ERCP) with common bile duct stones removal and endoscopic retrograde biliary drainage...
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Delayed Severe Hemobilia after Endoscopic Biliary Plastic Stent Insertion

Lee SH, Hong SG, Lee KY, Park PK, Kim SD, Lee M, Yu DW, Hong MY

Hemobilia is a rare gastrointestinal bleeding, usually caused by injury to the bile duct. Hemobilia after endoscopic retrograde cholangiopancreatography (ERCP) is generally self-limiting and patients will spontaneously recover, but some...
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Ruptured Cystic Artery Pseudoaneurysm as a Rare Cause of Massive Hemobilia

Lee HK, Song TJ, Choi JW, Ha SY, Kim JW, Shin JS, Kim CN, Chang SH

Gastrointestinal bleeding from the biliary tree, called hemobilia, is an uncommon event. It may clinically present as hematemesis or melena. Ruptured cystic artery pseudoaneurysm is a rare cause of hemobilia,...
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Massive Hemobilia due to Hepatic Arteriobiliary Fistula during Endoscopic Retrograde Cholangiopancreatography: An Extremely Rare Guidewire-Related Complication

Nam JG, Seo YW, Hwang JC, Weon YC, Kang BS, Bang SJ, Bang MS

Although endoscopic retrograde cholangiopancreatography (ERCP) is an effective modality for diagnosis and treatment of biliary and pancreatic diseases, the risk for procedure-related complications is high. Hemorrhage is one of major...
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Life-threatening Hemobilia following Removal of a Biliary Stent in a Patient with a Bile Leak

Park BJ, Lee TH, Park SH, Jang YW, Kwak YM, Lee WH, Bae SH, Kim CH

Biliary plastic stent induced life-threatening hemobilia is very rare. In this case, hemobilia seriously worsened following removal of a biliary stent, which had been placed for treatment of a postoperative...
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Anticoagulant Therapy-Induced Gallbladder Hemorrhage after Cardiac Valve Replacement

Cho SH, Lee HY, Kim HS

Anticoagulation therapy is essential after cardiac valve surgery. However, spontaneous bleeding remains a major concern during anticoagulation therapy. Spontaneous gallbladder (GB) hemorrhage (hemobilia) is a rare occurrence during standard anticoagulation...
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A Case of Massive Hemobilia after a Long Period of Time Since Open Cholecystectomy

Jeong JS, Eum YO, Jang JH, Yang H, Chung E, Kim HS, Bae IH, Park SM

A 77-year-old woman was admitted with 5 days history of melena. She had an open cholecystectomy 30 years ago. Abdominal computed tomography and duodenoscopy revealed massive hemobilia. Angiography showed right...
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Massive Bleeding Hemobilia Occurred in Patient with Hepatocellular Carcinoma

Lee KE, Kim CW, Kim MJ, Park J, Cho GM, Jang JW, Lee YS, Lee CD

Massive bleeding hemobilia occurs rarely in patients with hepatocellular carcinoma (HCC) without any invasive procedure. Upper gastrointestinal bleeding in patient with cirrhosis and abdominal pain with progressive jaundice in patient...
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Successful Treatment of an Iatrogenic Hepatic Arteriobiliary Fistula with an Endobiliary Covered Stent Graft: A Case Report

Song H, Lee SL, Ku YM, Chun CW

  • KMID: 2425241
  • J Korean Soc Radiol.
  • 2012 Jul;67(1):25-28.
Hepatic arteriobiliary fistula is a rare cause of hemobilia following percutaneous transhepatic biliary drainage for treatment of hilar cholangiocarcinoma. Hemobilia related to arterial injury is resistant to conservative treatment. Therefore,...
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A Case of Delayed Fatal Hemobilia after Radiofrequency Ablation of Hepatocellular Carcinoma

Chung SK, Jun BG, Lee SH, Lee SH, Chung IK, Kim HS, Park SH, Kim SJ

  • KMID: 2317684
  • Soonchunhyang Med Sci.
  • 2012 Jun;18(1):52-55.
Radiofrequency ablation (RFA) has been accepted as a safe and effective treatment for unresectable hepatic tumors because of the advantages of a minimally invasive procedure and the local treatment effect....
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Etiology, Clinical Features, and Endoscopic Management of Hemobilia: A Retrospective Analysis of 37 Cases

Kim KH, Kim TN

BACKGROUND/AIMS: Hemobilia is a rare cause of upper gastrointestinal bleeding. Endoscopic retrograde cholangiopancreaticography (ERCP) is considered to be an excellent diagnostic and treatment modality. Thirty-seven cases of hemobilia with different...
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Interventional Management of Delayed and Massive Hemobilia due to Arterial Erosion by Metallic Biliary Stent

Jeong HS, Shin TB, Hwang JC, Bae JI, Kim CW

PURPOSE: To evaluate the effectiveness of interventional management for delayed and massive hemobilia secondary to arterial erosion self expandable metallic stent (SES) in with biliary duct malignancy. MATERIALS AND METHODS: Over...
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Two Cases of Xanthogranulomatous Cholecystitis and Gallbladder Cancer with Hemobilia

Kwon JK, Kim DJ, Ryu HU, Seol SH, Hwang BS, Park JH, Son KR

  • KMID: 1442207
  • Korean J Gastrointest Endosc.
  • 2011 Jun;42(6):428-432.
Hemobilia is a rare upper gastrointestinal (GI) bleeding phenomenon usually caused by trauma but may occur due to various liver and pancreatobiliary diseases. Causes related to gallbladder disease include vascular...
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A case of hemocholecyst associated with hemobilia following radiofrequency ablation therapy for hepatocellular carcinoma

Shin KY, Heo J, Kim JY, Lee SJ, Jang SY, Park SY, Jung MK, Cho CM, Tak WY, Kweon YO

Radiofrequency ablation (RFA) is performed as an alternative to surgical resection for primary or secondary liver malignancies. Although RFA can be performed safely in most patients, early and late complications...
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An Intraluminal Gallbladder and Bile Duct Hematoma after a Percutaneous Biopsy of Hepatic Adenoma

Song HJ, Choi YW, Park JH, Lee TH, Kim YS, Kang YW, Choi IS

  • KMID: 2259000
  • Korean J Med.
  • 2011 Mar;80(3):323-327.
Hepatocellular adenoma is a rare, but benign, tumor mostly found in women taking oral contraceptives. Hepatocellular adenoma must be treated when bleeding of the tumor, intraperitoneal hemorrhage, or malignant transformation...
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Hemobilia as the Initial Manifestation of Cholangiocarcinoma in a Patient with Choledochoduodenostomy

Ryu DY, Cheong JH, Lee DG, Lee BE, Kim DU, Kim GH, Song GA

Hemobilia occurs when injury or disease causes communication between intrahepatic blood vessels and the intrahepatic or extrahepatic biliary system. The causes of hemobilia include trauma, gallstone disease, vascular malformation, inflammation,...
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A case of hemobilia caused by an intraductal papillary neoplasm of the bile duct

Choi WJ, Lee SS, Noh SH, Chun YH, Yu JH, Lee SK, Kim MH

  • KMID: 2258439
  • Korean J Med.
  • 2009 Sep;77(3):338-342.
Intraductal papillary neoplasm of the bile duct (biliary IPN) is a rare disease characterized by multicentric proliferation of adenomatous epithelium within the bile ducts. The common clinical manifestations are recurrent...
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A case of liver abscess due to Klebsiella oxytoca

Cho HC, Kim HJ, Lee JM, Kim SK, Kang MK, Lee OJ, Kim SJ

  • KMID: 2258577
  • Korean J Med.
  • 2009 Aug;77(2):218-222.
Klebsiella are opportunistic pathogens that cause a wide spectrum of severe diseases, such as septicemia, pneumonia, urinary tract infection, and soft tissue infection. Klebsiella oxytoca is rarely isolated from human...
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