Hemobilia with acute pancreatitis secondary to biliary tract infection  

作　　者：Dong-Bao Li Zu-Xiong Tang Jian-Xin Ye Zhi Li Xiao-Hua Yang Lei Qin Hua Zhao 

机构地区：[1]Department of HBP,Suzhou Dushuhu Public Hospital,Suzhou 215006,China [2]Department of General Surgery,The First Affiliated Hospital of Soochow University,Suzhou 215006,China [3]Department of Gastroenterology,The First Affiliated Hospital of Soochow University,Suzhou 215006,China [4]Department of Intervention,The First Affiliated Hospital of Soochow University,Suzhou 215006,China

出　　处：《Hepatobiliary & Pancreatic Diseases International》2019年第6期593-595,共3页国际肝胆胰疾病杂志（英文版）

基　　金：supported by a grant from the Science and Tech-nology Program of Suzhou City(SYS201539)

摘　　要：Hemobilia is a rare medical condition with variety of etiologies.Among them,two in thirds are iatrogenic.Hemobilia combined with acute pancreatitis is unusual.Herein we reported a case of hemobilia with acute pancreatitis secondary to biliary tract infection.A 76-year-old male patient had intermittent abdominal pain for 2 days,which was aggravated for 1 day.He was admitted to the Emergency Department on August 29,2017.The patient developed paroxysmal abdominal pain after consuming greasy foods,accompanied by nausea.The physical examination revealed the following:temperature 37.0°C,pulse 76 bpm,respiratory rate 19 per minute,blood pressure 164/77 mmHg;no jaundice;abdominal distention;and mild total abdominal tenderness,mainly located in the left upper abdomen.Murphy’s sign was positive.Urgent abdominal ultrasound showed postprandial gallbladder emptying,gallbladder stones,unclear gallbladder cavity,and focal hepatic lesions.Hemangioma was suggested.The intrahepatic bile duct was mildly dilated,and the abdominal and pelvic cavity showed no obvious accumulation of fluid.The laboratory findings were as follows:serum amylase 922.1 U/L,white blood cell count 18.2×109/L(neutrophils,83.4%),and hemoglobin 13.8 g/dL.

关 键 词：PANCREATITIS CAVITY admitted 

分 类 号：R57[医药卫生—消化系统]