Abstract
Case Report: Hemobilia rather uncommon to be recognize easily and remain obscure cause of GI bleeding. In our case, the right hepatic artery was eroding into a choledocal cyst. This is a 29 year old male, admitted as a case of GI bleeding mainly melena and jaundice. EGD was not conclusive. Additionally, ERCP performed and revealed blood flowing from the ampulla of Vater and showed choledocal cyst. We proceeded to CT scan and angiography which revealed abrupt occlusion of the right hepatic artery by the choledocal cyst compressing the artery. Surgical intervention was the procedure of choice in such case and revealed direct communication between right hepatic artery and the choledocal cyst. Conclusions: Complicated choledocal cyst is a cause of GI bleeding. Compressing effect of choledocal cyst and pulsation of hepatic artery can lead to pressure erosion of both the cyst wall and the arterial wall with subsequent perforation and direct communication between hepatic artery and biliary tract. CT, angiography and ERCP are essential for the diagnosis and surveillance which should decrease hospital length of stay.
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