Susa M
Acta Chir Iugosl. 1982;29(1):35-40.
Through the analysis of his own material and cases from the literature available to him, the author draws attention to the problem of gastrointestinal bleedings whose source is in the hepato-biliar organs. They are not rare as was earlier presumed, because of the small number diagnosed cases; he stresses that this bleeding can be occult with undefined anemias, which is of importance for the early diagnosis, or profuse bleeding representing an indication for emergency surgery, as in the four cases described. The initial signs appear prior, to the manifested bleeding and they are of importance for the early diagnosis indicating the need for early surgical treatment. The author shows etiopathogenesis and classification of haemobilia, particularly the diagnostic and therapeutic problems and concludes that the number of wrongly interpreted cases is smaller because of greater interest in haemobilia and more frequent publications about it.
通过对自身资料以及所能获取文献中的病例进行分析，作者提请关注源自肝胆器官的胃肠道出血问题。此类出血并非如先前推测的那样罕见，早期诊断病例数量较少；他强调这种出血可能隐匿于不明原因贫血中，这对早期诊断至关重要，或者可能是大量出血，如同所描述的4例病例那样，构成急诊手术指征。初始症状在明显出血之前出现，对提示早期手术治疗需求的早期诊断具有重要意义。作者阐述了胆道出血的病因发病机制及分类，尤其是诊断和治疗问题，并得出结论，由于对胆道出血的关注度提高以及相关报道增多，误诊病例数量有所减少。
