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대한소화기내시경학회 부록(2) : 혈액 담즙증을 유발한 담낭암 1예
Hemobilia Associated with Gallbladder Carcinoma
김성택(Sung Tae Kim),강민승(Min Seung Kang),이구(Goo Lee),김광희(Kwang Hee Kim),이홍식(Hong Sik Lee),김창덕(Chang Duck Kim),류호상(Ho Sang Ryu),현진해(Jin Hai Hyun)
UCI I410-ECN-0102-2009-510-005535910
* This article cannot be purchased.

Hemobilia is usually attributed to hepatic trauma. However, hepatic tumor was reported to be associated with only 5% of hemobilia, and only 1% of all hemobilia is reported to be caused by gallbladder carcinoma. We present a case of hemobilia in a patient with gallbladder carcinoma that was successfully controlled by angiographic procedures. A 64-year-old woman was admitted due to jaundice and dizziness. Duodenoscopy revealed blood clots at the ampulla of Vater. Endoscopic retrograde cholangiography showed amorphous filling defects within the lumen of a dilated common bile duct. On selective angiography, mild tumor staining and cystic arterial bleeding were found, and thus transcatheter arterial embolization was performed with a steel coil and gelform for control of the bleeding. (Korean J Gastrointest Endosc 19(Suppl. 2): S88∼S92, 1999)

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