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WILLIAM J. GROVE, M.D.

AMA Arch Surg. 1961;83(1):67-72.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Hemorrhage into the biliary tract is an uncommon cause of hematemesis and/or melena. Even though uncommon, it should be considered in the differential diagnosis, especially when the source of bleeding cannot be demonstrated with certainty.

Sandblom⁸ has referred to bleeding into the biliary tract as hemobilia. The term seems appropriate and I believe it should be used to describe biliary tract bleeding regardless of the etiology.

Historical Review

Of the more than 100 cases of hemobilia reported in the literature, the great majority are caused by rupture of an atherosclerotic aneurysm of the right hepatic artery into the biliary duct system. McNair⁵ recently reviewed the world literature and found 12 instances in which ruptured right hepatic artery aneurysms causing hemobilia had been successfully treated.

Sandblom⁸ has reported 9 cases of subcapsular liver injury that in most instances resulted in hemobilia.

Quattlebaum⁶ has reported 2 cases in . . . [Full Text PDF of this Article]

Author Affiliations
CHICAGO

Department of Surgery, University of Illinois College of Medicine.

Footnotes
This paper was read at the 68th Annual Meeting of the Western Surgical Association, Detroit, Dec. 2, 1960.

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