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- 58-year-old Patient Experiences Severe Hemobilia Post Liver Biopsy
58-year-old Patient Experiences Severe Hemobilia Post Liver Biopsy
Hemobilia, though rare, can be a severe post-procedure complication, requiring prompt diagnosis and effective treatment.
![](https://media.beehiiv.com/cdn-cgi/image/fit=scale-down,format=auto,onerror=redirect,quality=80/uploads/asset/file/8f0a2242-20c1-4a14-907d-233ead48b1f1/00932708-5431-4dd7-b7fa-ad5a19bfcaf4_480x480.jpg?t=1706280608)
Background:
Patient details: 58 years old, NAFLD, diabetes mellitus, hypertension
Procedure: Underwent liver biopsy
Symptoms 24hrs post-biopsy:
Acute abdominal pain
Jaundice & chills
Melenic stools
Emergency Room Findings:
Low blood pressure & rapid heart rate
Icteric sclerae
CT: Dilated bile duct with potential sludge/stones
ERCP: Multiple irregular defects in biliary tree
Treatment: Biliary sphincterotomy, blood clot extraction, plastic stent insertion (removed after 4 weeks)
About Hemobilia:
Causes: Primary cancer, trauma, gallstones, liver biopsy, etc.
Indicators (Quinke's triad): Epigastric pain, jaundice, gastrointestinal bleeding (not always all three)
Diagnosis: Endoscopy, CT imaging, ERCP with cholangiography
Treatment: Biliary tree decompression, drainage, blood transfusion if needed, address underlying cause
Conclusion: Hemobilia, though rare, can be a severe post-procedure complication, requiring prompt diagnosis and effective treatment.
![](https://media.beehiiv.com/cdn-cgi/image/fit=scale-down,format=auto,onerror=redirect,quality=80/uploads/asset/file/f2abddc4-a772-463b-a82e-39462953d31b/f4137bd8-1cc0-4d82-a6e0-f74b5c841b93_480x270.jpg?t=1706280608)