Safra kesesi kanserine bağlı gelişen hemobilinin başarılı tedavisi

Hemobili, hepatobiliyer trakttan kaynaklı kanama olup üst gastrointestinal kanamanın nadir bir sebebidir. Hemobilinin en yaygın nedenleri iyatrojenik, travmatojenik ve neoplastik nedenlerdir. Tedavide ise endoskopik olarak kanama kontrolü ve kanayan damarın anjiyografik olarak embolizasyonu kombine olarak kullanılmaktadır. Biz bu vakada 71 yaşında inoperable safra kesesi kanseri tanısı olup hemobili ve bilier obstuksiyon semptomları ile başvuran bir hastanın tedavisinden bahsedeceğiz.

Safra kesesi kanserine bağlı gelişen hemobilinin başarılı tedavisi

Hemobilia is bleeding from the hepatobiliary tract and a rare cause of acute upper gastrointestinal bleeding. The most common causes of hemobilia are iatrogenic, traumatogenic, and neoplastic. In the treatment, endoscopic bleeding control and angiographic embolization of the bleeding vessel are used in combination. In this case report, we present a 71-year-old patient with inoperable gallbladder cancer who presented with hemobilia and biliary obstruction symptoms.

___

  • Green M, Duell R, Johnson C, Jamieson N. Haemobilia. Br J Surg. 2001; 88: 773-86.
  • Cathcart S, Birk JW, Tadros M, Schuster M. Hemobilia: An Uncommon But Notable Cause of Upper Gastrointestinal Bleeding. J Clin Gastroenterol. 2017; 51: 796-804.
  • Berry R, Han JY, Kardashian AA, LaRusso NF, Tabibian JH. Hemobilia: Etiology, diagnosis, and treatment. Liver Res. 2018; 2: 200-8.
  • Zhornitskiy A, Berry R, Han JY, Tabibian JH. Hemobilia: Historical overview, clinical update, and current practices. Liver Int. 2019; 39: 1378-88.
  • Bektas M. Hemobilia and Hemosuccus Pancreaticus. Turkiye Klinikleri J Gastroenterohepatol-Special Topics. 2008; 1: 32-4
  • Khamaysi I, Suissa A. Hemobilia. Gastrointest Endosc. 2017; 86: 1176-7.
  • Bismuth H. Hemobilia. N Engl J Med 1973; 288: 617-9
  • Sadamori H, Fujiwara H, Tanaka T,ve ark. Carcinosarcoma of the gallbladder manifesting as cholangitis due to hemobilia. J Gastrointest Surg. 2012; 16: 1278
  • Páez Cumpa C, Erimeiku Barahona A, Payeras Capó MA, Amengual Antich I, Garrido Durán C. Hemobilia due to intracholecystic papillary neoplasm. Rev Esp Enferm Dig. 2017; 109: 70-3.