A CASE OF HEMOBILIA, SUSPECTED FROM HEPATOCELLULAR CARCINOMA, PRESENTING WITH ACUTE PANCREATITIS

Abstract

We report a cencommor case of hemobilia culueb is caused by hepatocellular carcinoma in cessoceation with acute pancreatitis and is sucessfully removed blood clots from the common bile duct (CBD). A 65-year old female with HCV-related liver cirrhosis and hepatocellular carcinoma was admitted to our hospital due to sudden epigastralgia. She had undergone transcatheter arterial embolization for hepatocellular carcinoma one year before. Laboratory tests and abdominal CT on admission revealed acute pancreatitis, which markedly improved by conservative treatment with intravenous administration of protease inhibitors. MRCP revealed filling defects of CBD and ERC also showed a cord-like defects. Subsequently we performed EST and successfully removed a strip of blood clots from CBD. Acute pancreatitis caused by hemobilia from hepatocellular carcinoma is extremely rare. (cencommor)