日本消化器内視鏡学会雑誌
Online ISSN : 1884-5738
Print ISSN : 0387-1207
ISSN-L : 0387-1207
経皮的肝生検に続発したHemobiliaの2例
佐々木 良美桑名 斉加藤 昭加納 誠岡田 昌之荒川 泰行阿部 政直林 貴雄長谷 克本田 利男
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1976 年 18 巻 5 号 p. 767-769_1

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Hemobilia is a term first used in 1948 by Sandblom to describe bleeding into the bile ducuts. Most of the causes of hemobilia were trauma, inflamation and neoplasma. Hemobilia secondaly to percutaneous needle biopsy of the liver is very rare, and only 8 cases have been reported previously. This complication, although rare, need to establish early diagnosis, because mortality rate is very high. As soon as hemobilia is suspected from patients history, endoscopic observation of papilla of Vater will be helpful to make early diagnosis. We reported two cases of hemobilia secondary to percutaneous liver biopsy. The clinical features of colicky pain, gastrointestinal bleeding following biopsy were seen in both of the two cases, . In each instances endoscopical observertion of papilla of Vater was helpful in deciding the localization of source of hemorrhage. The hemorrhage ceased spontaneously on each instances.
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