Abstract
The majority of cases of hemobilia are of traumatic or vascular origin; however, we report herein the rare case of a 51-year-old man with early carcinoma of the gallbladder accompanied by hemobilia. He had been diagnosed as having gallbladder polyps during an admission to a local hospital for treatment of cardiac failure. Preoperative evaluation in our hospital suggested that the polypoid lesion was an advanced carcinoma of the gallbladder. Laparotomy revealed that the gallbladder contained blood clots, and a cholecystectomy was performed. Histological examination confirmed the main lesion to be IIb-type early carcinoma of the gallbladder and proved that the blood clots had been misinterpreted as polyps or advanced carcinoma before the operation. The diagnostic approaches and characteristics of hemobilia in the gallbladder are discussed with a review of the literature.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Japanese Society of Biliary Surgery (ed) (1993) General rules for surgical and pathological studies on cancer of biliary tract. Kimbara, Tokyo, pp 94–95
Sandblom P (1948) Hemorrhage into the biliary tract following trauma-“traumatic hemobilia”. Surgery 24:571–585
Cappell MS, Marks M, Kirshenbaum H (1993) Massive hemobilia and acalculous cholecystitis due to benign gallbladder polyp. Dig Dis Sci 38:1156–1161
Sandblom P (1972) Hemobilia (Biliary Tract Hemorrhage): History, Pathology, Diagnosis, Treatment. Thomas Springfield, Illinois, pp 21–22
Palmer ED (1969) The vigorous diagnostic approach to upper gastrointestinal tract hemorrhage. JAMA 207:1477–1480
De Risi D, Spier N, Holyoke ED (1982) Report of a rare case of significant hemobilia and review of this entity. J Med 13:323–338
Marchal G, Fvery J, Snowball S, Van Holsbeeck M, Oyen R, Adisoejoso B, Kerremans R, Gruwez J, Geboes K, Baert A (1985) The sonographic aspects of haemobilia. Eur J Radiol 5:211–215
Curet P, Baumer R, Roche A, Grellet J, Mecadier M (1984) Hepatic hemobilia of traumatic or iatrogenic origin: recent advances in diagnosis and therapy: review of the literature from 1976 to 1981. World J Surg 8:2–8
Goodnight JE, Blaisdell FW (1981) Hemobilia. Surg Clin North Am 61:973–978
Senda Y, Izumi H, Yasui T, Kitazawa Y, Chiyo T, Tanaka T (1984) Hemobilia associated with gallstone: a case report and review of the Japanese literature (in Japanese), Shokaki Geka (Gastroenterol Surg) 7:611–616
Sakakibara N, Yokoi K, Takemura H, Ishida F, Kawamura Y, Iwata T (1987) A case of multiple early carcinoma of gallbladder with hemorrhage from tumor (in Japanese). Nihon Shokaki Geka Gakkai Zasshi (Jpn J Gastroenterol Surg) 20:1109–1112
Iizuka T, Makino H, Ishii K, Aikawa K, Inoue K, Hosaka H, Hashimoto K, Kitoh F, Suda T, Takemura H, Takeda M (1988) A case of early carcinoma of the gallbladder accompanying with hemobilia (in Japanese). Nihon Shokakibyo Gakkai Zasshi (Jpn J Gastroenterol) 85:117
Yoshihara H, Kanai M, Matsumine T (1988) A case of early carcinoma of the gallbladder accompanying with bloody bile (in Japanese). Nihon Shokakibyo Gakkai Zasshi (Jpn J Gastroenterol) 85:315
Sandblom P, Mirkovitch V (1977) Hemobilia: Some salient features and their causes. Surg Clin North Am 57:397–408
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Uchiyama, K., Aida, N., Shibuya, T. et al. Early carcinoma of the gallbladder accompanied by hemobilia: Report of a case. Surg Today 28, 763–767 (1998). https://doi.org/10.1007/BF02484626
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02484626