Pollack C V
Division of Emergency Medicine, University Medical Center, Jackson, Ms.
J Miss State Med Assoc. 1990 Jan;31(1):1-3.
Hemobilia is a rare source of gastrointestinal (GI) hemorrhage. When hepatobiliary bleeding presents as GI bleeding, a history of preceding blunt abdominal trauma is reported in approximately 50% of cases. Often three to four weeks have elapsed between the injury and presentation, and as long as twelve weeks has been reported. Symptoms may suggest either upper or lower GI blood loss. Traumatic hemobilia is commonly associated with cavitary injuries to the liver, and is classically characterized by a triad of findings: GI bleeding, biliary colic, and jaundice. This report describes a patient with traumatic hemobilia, who had neither a significant hepatobiliary injury, nor the classic triad of findings.
胆道出血是胃肠道（GI）出血的一种罕见原因。当肝胆出血表现为胃肠道出血时，约50%的病例报告有腹部钝性外伤史。损伤与出现症状之间通常间隔三到四周，也有报告长达十二周的情况。症状可能提示上消化道或下消化道失血。创伤性胆道出血通常与肝脏的空洞性损伤有关，其典型特征为三联征：胃肠道出血、胆绞痛和黄疸。本报告描述了一名患有创伤性胆道出血的患者，该患者既没有明显的肝胆损伤，也没有典型的三联征表现。
