[Acute pancreatitis related to hemobilia complicating hepatocarcinoma].

Abstract

Hemobilia is an rare cause of acute pancreatitis. The most frequent causes are iatrogenic trauma (percutaneous liver biopsy) and hepatic artery aneurysm. To our knowledge, this is the second published case of acute pancreatitis related to hemobilia secondary to hepatocarcinoma complicated cirrhosis in a patient treated with anticoagulants for a mechanical valvular aortic prosthesis. The clinical picture included acute epigastric pain, fever and jaundice. Increased amylase and lipase serum activities, and abdominal CT data confirmed the diagnosis of acute pancreatitis. Gallstone induced acute pancreatitis was suspected and thus, a cholecystectomy was performed. No bile duct stones were found but a clot was extracted from the extrahepatic bile duct during surgery. Arterial embolization was then performed and repeated 1 and 3 months later for recurrence. The patient was asymptomatic eight months later. Hepatic arterial embolization is an effective haemostatic treatment for hemobilia, even though, in this case treatment had to be repeated because of an anticoagulant therapy.

• Authors: David Karsenti, Juliette Tchuenbou, Hayete Djarech, Axel de Widerspach-Thor, Michel-Ange Gomez, Anne Delhommais, Zine-Abidine Benchellal, Louis D'alteroche, Etienne Dorval
• Journal: Gastroenterologie clinique et biologique (Gastroenterol Clin Biol) Vol. 26 Issue 11 Pg. 1051-4 (Nov 2002) ISSN: 0399-8320 [Print] France
• Vernacular Title: Pancréatite aiguë liée à une hémobilie compliquant un carcinome hépatocellulaire.
• PMID: 12483143 (Publication Type: Case Reports, Journal Article)

Topics

• Acute Disease
• Aged
• Angiography
• Carcinoma, Hepatocellular (complications)
• Cholangiography
• Embolization, Therapeutic
• Follow-Up Studies
• Hemobilia (complications, diagnosis, etiology, therapy)
• Hepatic Artery (diagnostic imaging)
• Humans
• Liver Neoplasms (complications)
• Male
• Pancreatitis (diagnosis, etiology, surgery)
• Radiography, Abdominal
• Recurrence
• Time Factors
• Tomography, Spiral Computed
• Tomography, X-Ray Computed