HEMOBILIA is an uncommon cause of gastrointestinal bleeding, but one that is readily diagnosed by hepatic angiography. Of the 500 reported cases, bleeding originated from the gallbladder (hemocholecyst) in 13%, and usually resulted from erosion of the cystic artery in conjunction with cholelithiasis.1 Following is a report of hemocholecyst diagnosed preoperatively by angiography.
Report of a Case
A 64-year-old white man was first seen at Michael Reese Hospital and Medical Center with signs and symptoms suggesting diverticulitis of the colon. Roentgenograms identified a large, laminated calculus in the projection of the gallbladder and a reflex ileus pattern. On the 13th hospital day, an enema with barium sulfate (Fig 1) showed a paracolic mass on the right, which was found at laparotomy to be an infected hematoma. The patient did well and was discharged; his condition was diagnosed as retroperitoneal abscess caused by a perforated colonic diverticulum.The patient was
Angres G, Srikantaswamy S, Zarnow H. Hemocholecyst: An Angiographic Demonstration. JAMA. 1974;228(8):1026. doi:10.1001/jama.1974.03230330056024
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