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KMID : 0371319700120110021
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Journal of the Korean Surgical Society
1970 Volume.12 No. 11 p.21 ~ p.31
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INFLAMMATORY HEMOBILIA OF INTRAHEPATIC ORIGIN
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Seel, David J.
Yang, Jehoom/Lee, K.Y.
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Abstract
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Four recent experiences with massive hemobilia of inflammatory origin have prompted this report. All four cases were of intrahepatic origin, arising in patients with cholangitis, left hepatic duct ectasia, and (in at least three of the patients) pericholan-.giolar abscesses.
The majority of the cases of hemobilia reported in the literature are of traumatic or vascular origin. Steichen and Scheiner (25) collected 52 cases of traumatic hemobilia from the world literature in 1966. Massive biliary tract hemorrhage related to the rupture of an atherosclerotic aneurysm of the hepatic artery has been reported with increasing frequency (3, 7, 8, 9, 15, 19). Severe bleeding from inflammatory or neoplastic lesions of the gallbladder or lower biliary tract has been reported occasionally (4, 14, 26).
On the other hand, hemobilia due to inflammatory intrahepatic lesions is rare. The purpose of this paper is to draw attention to inflammatory lesions of the liver and biliary tract, and in particular to cholangitis and pericholangiolar abscesses of the left lobe of the liver, as a cause of hemobilia in the Orient.
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KEYWORD
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