Hemobilia due to an Arteriobiliary Fistula Following Duodenopancreatectomy: A Case Report and Literature Review

Iulian-Andrei Gilca*, Soeren Torge Mees, Ayham Ghinagow

Department of Visceral Surgery, Städtisches Klinikum Dresden, Germany

^*Correspondance to: Iulian-Andrei Gilca 

 PDF  Full Text Case Report | Open Access

Abstract:

Hemobilia, defined as the presence of blood in the bile ducts, is a rare condition that poses a diagnostic challenge due to its ability to mimic other acute abdominal conditions. Its clinical manifestations often include Quincke's triad: jaundice, abdominal pain, and gastrointestinal bleeding. The etiology of hemobilia is diverse, ranging from trauma, malignancies, and inflammatory processes to medical procedures like liver biopsies or surgical interventions. Bleeding can also result from a vascular injury that connects the hepatic artery or other blood vessels to the biliary system. The intricate nature of the biliary and vascular systems makes the pathophysiology of hemobilia particularly complex. A multidisciplinary approach, involving imaging techniques like CT scans, MRIs, and angiography, is often necessary to identify the bleeding source [1].

Keywords:

Arteriobiliary Fistula

Cite the Article:

Gilca I-A, Mees ST, Ghinagow A. Hemobilia due to an Arteriobiliary Fistula Following Duodenopancreatectomy: A Case Report and Literature Review. Ann Clin Case Rep. 2026; 11: 2812..