Bairagi Anjana, Aronson Daniel C
Department of Paediatric Surgery, Inkosi Albert Luthuli Central Hospital, University of Kwazulu-Natal, Durban, South Africa.
European J Pediatr Surg Rep. 2015 Jun;3(1):23-6. doi: 10.1055/s-0034-1372462. Epub 2014 Jul 30.
Nontraumatic hemobilia is a rare cause of upper gastrointestinal hemorrhage in children. In the developing world, infections and inflammation are the two most common causes. Two patients are presented illustrating the diagnostic difficulties. Following recognition of the site of bleeding the surgery was successful in each case. After a review of the literature, a diagnostic workup is proposed.
非创伤性胆道出血是儿童上消化道出血的罕见原因。在发展中世界,感染和炎症是最常见的两个原因。本文介绍了两名患者,以说明诊断上的困难。在确定出血部位后,两例手术均获成功。在复习文献后,提出了一种诊断检查方法。