Endoscopy and Endoscopic Retrograde Cholangiopancreatography Findings in Traumatic Liver Injury and Hemobilia
Blood Coagulation Factors
Lupus Erythematosus, Systemic
A case of posttraumatic hemobilia is described in which endoscopy provided the initial diagnosis. Subsequent endoscopic retrograde cholangiopancreatography (ERCP) demonstrated an abnormality in the left hepatic duct considered to be due to a traumatic aneurysm or abscess cavity. Selective angiography confirmed the presence of an aneurysm of the right hepatic artery at the same site as shown on ERCP. Management was conservative despite massive and prolonged episodes of gastrointestinal bleeding in view of the severe initial liver injury sustained.