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| Content Provider | PubMed Central |
|---|---|
| Author | Manolakis, Anastassios C. Kapsoritakis, Andreas N. Tsikouras, Antonis D. Tsiopoulos, Fotis D. Psychos, Athanassios K. Potamianos, Spyros P. |
| Copyright Year | 2008 |
| Abstract | Hemobilia is a rare manifestation of hemophilia and is usually iatrogenic following liver biopsy. There are only few reports of spontaneous hemobilia in hemophilia patients. Cholangiocarcinoma is a well-established cause of hemobilia. We describe a case of a 70-year-old male, with known haemophilia B and a past history of papillotomy, who presented with classical symptoms of hemobilia. The initial diagnostic work-up failed to demonstrate a potential cause of bleeding other than the coagulopathy. Three months later, he was readmitted to our hospital with a second episode of hemobilia. During the second work-up, a cholangiocarcinoma was diagnosed both by imaging studies and by a significant elevation of cancer antigen 19-9. Although hemobilia could be attributed to hemophilia, especially in a patient with previous papillotomy, an underlying malignancy of the biliary tree should be suspected. |
| Related Links | http://dx.doi.org/10.3748/wjg.14.4241 |
| Starting Page | 4241 |
| File Format | |
| ISSN | 10079327 |
| Journal | World Journal of Gastroenterology : WJG |
| Issue Number | 26 |
| Volume Number | 14 |
| Language | English |
| Publisher | The WJG Press and Baishideng |
| Publisher Date | 2008-01-01 |
| Access Restriction | Open |
| Rights Holder | The WJG Press and Baishideng |
| Subject Keyword | Gastroenterology Research in Higher Education |
| Content Type | Text |
| Resource Type | Article |
| Subject | Gastroenterology |
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