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Original Article
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Korean J Med. 2009;76(3):352-357.
- 혈액 담즙증을 증상으로 진단된 담낭암 2예
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김경옥, 장병익, 은종렬, 이규형, 이시형 .김태년,
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- Two cases of gallbladder cancer diagnosed by detection of hemobilia
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Kyeong Ok Kim, Byung Ik Jang, Jong Ryul Eun, Kyu Hyung Lee, Si Hyung Lee, Tae Nyeun Kim
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- Abstract
- Hemobilia is a hemorrhage into the biliary tract and is a relatively rare cause of bleeding in the digestive tract. Gallbladder cancer is the most common tumor in the biliary tract. Gastrointestinal bleeding including hemobilia is reported in only 3% of cases of gallbladder cancer. Here, we report two rare cases of gallbladder cancer diagnosed by the detection of hemobilia. One case was an anemic patient with no abnormal endoscopic findings; capsule endoscopy showed blood in the duodenum and repeat gastroendoscopy revealed hemorrhage from the ampulla of Vater. The diagnosis of early gallbladder cancer was made and the patient underwent surgery and was followed-up. The other case presented with a symptom triad including hemobilia, and endoscopic retrograded cholangiopancreatography (ERCP) revealed hemobilia and a filling defect in the gallbladder. This patient also underwent radical cholecystectomy with the diagnosis of gallbladder cancer.
Keywords :Hemobilia, Gallbladder cancer, Capsule endoscopy
