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Spontaneous hemobilia in a hemophiliac treated by factor VIII replacement and nasobiliary drainage.

Abstract
We report a case of spontaneous hemobilia in a hemophilia patient presenting with classical Sandblom's triad of symptoms. Endoscopic retrograde cholangiography was helpful in establishing the diagnosis. Hemobilia subsided with factor VIII replacement and endoscopic nasobiliary drainage. Endoscopic nasobiliary drainage resulted in lysis of the clots in the biliary tree and relief of obstructive jaundice.
AuthorsD V Sreenivas, C Bharavi, F Anjum, N Kumar YR, A Kumar
JournalDigestive diseases and sciences (Dig Dis Sci) Vol. 43 Issue 12 Pg. 2606-9 (Dec 1998) ISSN: 0163-2116 [Print] United States
PMID9881489 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Factor VIII
Topics
  • Cholestasis (etiology)
  • Drainage
  • Factor VIII (therapeutic use)
  • Hemobilia (etiology)
  • Hemophilia A (complications, drug therapy)
  • Humans
  • Male
  • Middle Aged

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