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분야
의약학 > 내과학
저자
이경은 ( Kyung Eun Lee ) , 김창욱 ( Chang Wook Kim ) , 김민주 ( Min Ju Kim ) , 박진희 ( Jin Hee Park ) , 조규민 ( Gu Min Cho ) , 장정원 ( Jeong Won Jang ) , 이영석 ( Young Sok Lee ) , 이창돈 ( Chang Don Lee )
발행기관
대한소화기학회
간행물정보
대한소화기학회지 2013년, 제61권 제1호, 46~49페이지(총4페이지)
파일형식
07811347.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    Massive bleeding hemobilia occurs rarely in patients with hepatocellular carcinoma (HCC) without any invasive procedure. Upper gastrointestinal bleeding in patient with cirrhosis and abdominal pain with progressive jaundice in patient with HCC were usually thought as variceal bleeding and HCC progression respectively. We experienced recently massive bleeding hemobilia in patient with HCC who was a 73-year old man and showed sudden abdominal pain, jaundice and hematochezia. He had alcoholic cirrhosis and history of variceal bleeding. One year ago, he was diagnosed as HCC and treated with transarterial chemoembolization periodically. Sudden right upper abdominal pain occurred then subsided with onset of hemotochezia. Computed tomography showed bile duct thrombosis spreading in the intrahepatic and extrahepatic ducts, while an ampulla of vater bleeding was observed during duodenoscopy. Hemobilia could be one of the causes of massive bleeding in patients with cirrhosis and HCC especially when they had sudden abdominal pain and abrupt elevation of bilirubin. (Korean J Gastroenterol 2013;61:46-49)
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