Hemobilia

Question 1

Definition

Answer 1

bleeding into the biliary tree

Question 2

Causes

Answer 2

1-Trauma :
ERCP
Liver biopsy

2-Tumors (hepatocellular carcinoma, hemangioma)
3-Vascular lesions (aneurysm, pseudoaneurysm, AV malformation)

Question 3

Management

Answer 3

1-Stabilization of the patient (fluids, blood transfusions if needed)
2-Angiographic embolization: Most common and effective treatment

3-Surgery: Reserved for cases where embolization fails

4-Endoscopic therapy: May help if bleeding source is visualized