Endoscopic Ultrasound as a Diagnostic Tool in a Case of Obscure Hemobilia | Zendy

Monica A. Konerman | Zendy; Zishu Zhang | Zendy; Cyrus Piraka | Zendy

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Endoscopic Ultrasound as a Diagnostic Tool in a Case of Obscure Hemobilia

Author(s) -

Monica A. Konerman,

Zishu Zhang,

Cyrus Piraka

Publication year - 2016

Publication title -

acg case reports journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.112

H-Index - 4

ISSN - 2326-3253

DOI - 10.14309/crj.2016.143

Subject(s) - medicine , endoscopic retrograde cholangiopancreatography , percutaneous transhepatic cholangiography , endoscopic ultrasound , radiology , pseudoaneurysm , etiology , gastrointestinal bleeding , cholangiography , aneurysm , surgery , pancreatitis

Hemobilia represents an uncommon cause of gastrointestinal bleeding that can present both diagnostic and therapeutic challenges. The evaluation of hemobilia typically involves cross-sectional imaging and endoscopic retrograde cholangiopancreatography (ERCP). There is limited data regarding the diagnostic utility of endoscopic ultrasound (EUS) in the evaluation of hemobilia. We present a case of a hepatic artery pseudoaneurysm as the etiology of hemobilia that was detected via EUS only. We conclude that EUS can serve as an important diagnostic tool in the evaluation of obscure hemobilia, especially in cases where imaging, ERCP, and percutaneous transhepatic cholangiography have been unsuccessful or inconclusive.

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