Jaeger M, Willimann P
Schweiz Med Wochenschr. 1976 Oct 9;106(41):1392-5.
Hemobilia, biliary tree hemorrhage, is characterized by melana and/or haematemesis, biliary colic and clinical jaundice. The rare cause of gastrointestinal bleeding probably accounts for quite a large percentage of gastrointestinal hemorrhages of undetermined source. In the evaluation of gastrointestinal bleeding the hepato-biliary system is seldom examined unless trauma has occurred. However, 10-15% of cases with hemobilia are non-traumatic. Three cases are presented illustrating three different causes of non-traumatic hemobilia observed during the last three years. The diagnostic problems and the therapeutic possibilities are described.
胆道出血，即胆道树出血，其特征为黑便和/或呕血、胆绞痛及临床黄疸。这种罕见的胃肠道出血原因可能在不明来源的胃肠道出血中占相当大的比例。在评估胃肠道出血时，除非发生创伤，否则很少检查肝胆系统。然而，10% - 15%的胆道出血病例为非创伤性。本文介绍了三例病例，阐述了过去三年中观察到的非创伤性胆道出血的三种不同原因。并描述了诊断问题及治疗可能性。
