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Case Report

Open Access

Jaundice, occult blood and acute cholecystitis: hemobilia as the initial presentation of acute cholecystitis complicated by a pseudoaneurysm


1,Department of Emergency Medicine

2,Department of Surgery

3,Department of Radiology Tri-Service General Hospital National Defense Medical Center

4,Department of Radiology Tri-Service General Hospital

DOI: 10.22514/SV61.042011.9 Vol.6,Issue 1,May 2011 pp.47-49

Published: 02 May 2011

*Corresponding Author(s): WEI-CHOU CHANG E-mail:


Identifying the presence of hemobilia can be clinically important since it might change the therapeutic approach to patient management. Here, we report a 56-year-old man with clinical symptoms of acute cholecystitis. Multidetector-row compu-ted tomography of the abdomen showed a ruptured pseudoaneurysm arising from the right hepatic artery. Angiography, with transarterial coil embolization of the pseudoaneurysm, was performed before surgery to reduce the risk of hemostatic complications.


pseudoaneurysm, hepa-tic artery, hemobilia, multidetector-row computed tomography, transar-terial embolization

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SHIH-HUNG TSAI,DE-CHUAN CHAN,CHANG HSIEN LIU,HSIEN-HE HSU,WEI-CHOU CHANG. Jaundice, occult blood and acute cholecystitis: hemobilia as the initial presentation of acute cholecystitis complicated by a pseudoaneurysm. Signa Vitae. 2011. 6(1);47-49.


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