Safra kesesi kanserine bağlı gelişen hemobilinin başarılı tedavisi

Year 2020, Volume: 2 Issue: 3, 91 - 93, 28.06.2020

Mustafa Kaplan , Mustafa Özdemir , Bülent Ödemiş

https://doi.org/10.38053/acmj.644617

Abstract

Hemobili, hepatobiliyer trakttan kaynaklı kanama olup üst gastrointestinal
kanamanın nadir bir sebebidir. Hemobilinin en yaygın nedenleri iyatrojenik,
travmatojenik ve neoplastik nedenlerdir. Tedavide ise endoskopik olarak kanama
kontrolü ve kanayan damarın anjiyografik olarak embolizasyonu kombine olarak
kullanılmaktadır. Biz bu vakada 71 yaşında inoperable safra kesesi kanseri
tanısı olup hemobili ve bilier obstuksiyon semptomları ile başvuran bir
hastanın tedavisinden bahsedeceğiz.

Keywords

ERCP, sistik arter embolizasyonu, gastrointestinal kanama

Safra kesesi kanserine bağlı gelişen hemobilinin başarılı tedavisi

Abstract

Hemobilia is bleeding from the hepatobiliary tract and a rare cause of
acute upper gastrointestinal bleeding. The most common causes of hemobilia are iatrogenic, traumatogenic, and
neoplastic. In the treatment, endoscopic bleeding control and angiographic
embolization of the bleeding vessel are used in combination. In this case
report, we present a 71-year-old patient with inoperable gallbladder cancer who
presented with hemobilia and biliary obstruction symptoms.

Keywords

ERCP, cystic artery embolisation, gastrointestinal bleeding

References

• Green M, Duell R, Johnson C, Jamieson N. Haemobilia. Br J Surg. 2001; 88: 773-86.
• Cathcart S, Birk JW, Tadros M, Schuster M. Hemobilia: An Uncommon But Notable Cause of Upper Gastrointestinal Bleeding. J Clin Gastroenterol. 2017; 51: 796-804.
• Berry R, Han JY, Kardashian AA, LaRusso NF, Tabibian JH. Hemobilia: Etiology, diagnosis, and treatment. Liver Res. 2018; 2: 200-8.
• Zhornitskiy A, Berry R, Han JY, Tabibian JH. Hemobilia: Historical overview, clinical update, and current practices. Liver Int. 2019; 39: 1378-88.
• Bektas M. Hemobilia and Hemosuccus Pancreaticus. Turkiye Klinikleri J Gastroenterohepatol-Special Topics. 2008; 1: 32-4
• Khamaysi I, Suissa A. Hemobilia. Gastrointest Endosc. 2017; 86: 1176-7.
• Bismuth H. Hemobilia. N Engl J Med 1973; 288: 617-9
• Sadamori H, Fujiwara H, Tanaka T,ve ark. Carcinosarcoma of the gallbladder manifesting as cholangitis due to hemobilia. J Gastrointest Surg. 2012; 16: 1278
• Páez Cumpa C, Erimeiku Barahona A, Payeras Capó MA, Amengual Antich I, Garrido Durán C. Hemobilia due to intracholecystic papillary neoplasm. Rev Esp Enferm Dig. 2017; 109: 70-3.