Abstract
That is a condition hemobilia occurs infrequently in clinical practice, have different etiologies. It is defined by the presence of blood in the bile duct. Characterized by the classic triad of jaundice, right upper quadrant pain and upper gastrointestinal bleeding. For diagnosis we can use different complementary studies, imaging and endoscopic. Treatment is surgical Generally. A case of hemobilia in a chronic cholecystitis operated by patient developed obstructive jaundice WHO, with upper gastrointestinal bleeding and abdominal pain. It was as definitive treatment Performed ligation of the right hepatic artery with satisfactory evolution.
Highlights
Hemobilia is defined as the presence of blood in the biliary tree [1]
A case of female patient treated at the hospital area of Puerto Cortes with a recent history of cholecystectomy who develops porteriormente hemobilia classic triad, right upper quadrant pain, obstructive jaundice, upper gastrointestinal bleeding and secondary anemia
The hemobilia is a condition that must be considered in the differential diagnosis of a patient with upper gastrointestinal bleeding intermittently, as Cumana mentioned in his article in 2011, the hints that should be suspected hemobilia in those presenting bleeding colestacis high with signs of digestive
Summary
Caused by an abnormal communication between the blood vessels and bile ducts [2] This condition is characterized by the classic triad of jaundice, pain in the right upper quadrant and upper gastrointestinal bleeding. A case of female patient treated at the hospital area of Puerto Cortes with a recent history of cholecystectomy who develops porteriormente hemobilia classic triad, right upper quadrant pain, obstructive jaundice, upper gastrointestinal bleeding and secondary anemia. Who it was performed as definitive treatment ligation of the right hepatic artery. It can be concluded that the patient had a box hemobilia shown by clinical presenting the triad of jaundice, abdominal pain and gastrointestinal bleeding intermittently and being confirmed intraoperatively, showing clinical improvement after surgery
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