Hemobilia with acute pancreatitis secondary to biliary tract infection

Dong-Bao Li; Zu-Xiong Tang; Jian-Xin Ye; Zhi Li; Xiao-Hua Yang; Lei Qin; Hua Zhao

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Hemobilia with acute pancreatitis secondary to biliary tract infection

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cqvip:Hemobilia is a rare medical condition with variety of etiologies.Among them,two in thirds are iatrogenic.Hemobilia combined with acute pancreatitis is unusual.Herein we reported a case of hemobilia with acute pancreatitis secondary to biliary tract infection.A 76-year-old male patient had intermittent abdominal pain for 2 days,which was aggravated for 1 day.He was admitted to the Emergency Department on August 29,2017.The patient developed paroxysmal abdominal pain after consuming greasy foods,accompanied by nausea.The physical examination revealed the following:temperature 37.0°C,pulse 76 bpm,respiratory rate 19 per minute,blood pressure 164/77 mmHg;no jaundice;abdominal distention;and mild total abdominal tenderness,mainly located in the left upper abdomen.Murphy’s sign was positive.Urgent abdominal ultrasound showed postprandial gallbladder emptying,gallbladder stones,unclear gallbladder cavity,and focal hepatic lesions.Hemangioma was suggested.The intrahepatic bile duct was mildly dilated,and the abdominal and pelvic cavity showed no obvious accumulation of fluid.The laboratory findings were as follows:serum amylase 922.1 U/L,white blood cell count 18.2×109/L(neutrophils,83.4%),and hemoglobin 13.8 g/dL.

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《国际肝胆胰疾病杂志（英文版）》 |2019年第6期|593-595|共3页
作者
Dong-Bao Li; Zu-Xiong Tang; Jian-Xin Ye; Zhi Li; Xiao-Hua Yang; Lei Qin; Hua Zhao;
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Department of HBP Suzhou Dushuhu Public Hospital Suzhou 215006 China;

Department of General Surgery The First Affiliated Hospital of Soochow University Suzhou 215006 China;

Department of Gastroenterology The First Affiliated Hospital of Soochow University Suzhou 215006 China;

Department of Intervention The First Affiliated Hospital of Soochow University Suzhou 215006 China;

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Hemobilia with acute pancreatitis secondary to biliary tract infection

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