JOHN H. KARAM, M.D.; THEODORE JACOBS, M.D.
Bleeding into the biliary duct system has been classified into two general types, extrahepatic and intrahepatic, according to the site of hemorrhage.1-3 The intrahepatic type, although rare, has been reported from traumatic rupture of the liver;4-12 vascular lesions of the hepatic artery, including vasculitis,13 hemangiomata,1 and aneurysm;14 neoplasms;15, 16 and yellow atrophy of the liver, both acute17 and subacute.1
In 1948 Sandblom,4 in an excellent clinical review, introduced the term "hemobilia" to describe bleeding into the biliary tract. He noted that hemobilia, regardless of cause, is usually manifested by severe pain in the upper right quadrant of the abdomen, suggesting
KARAM JH, JACOBS T. HEMOBILIA: REPORT OF A CASE OF MASSIVE GASTROINTESTINAL BLEEDING ORIGINATING FROM A HEPATIC ABSCESS1. Ann Intern Med. ;54:319–326. doi: 10.7326/0003-4819-54-2-319
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Published: Ann Intern Med. 1961;54(2):319-326.
Biliary Disorders, Gastroenterology/Hepatology, Infectious Disease, Liver Disease.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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