Kaplan R P, Kaplan L, Panish J, Treiman R
Dig Dis Sci. 1980 Feb;25(2):140-4. doi: 10.1007/BF01308313.
Hemorrhage into the biliary tract, known as hemobilia, is discussed almost exclusively in the surgical literature. Internists should also be aware of this entity. Two cases of hemobilia from hepatic artery aneurysm that ruptured into the biliary tract are presented. Both patients developed pancreatitis in addition to the classic symptom triad of melena, right upper quadrant pain, and jaundice. In one paitent, hemobilia was established by endoscopy. The authors adivse endoscopy workup of such patients and emphasize that pancreatitis, secondary to pancreatic duct obstruction, may be more common with hemobilia than has been reported.
胆道出血，即血胆症，几乎仅在外科文献中被讨论。内科医生也应了解这一病症。本文介绍了两例因肝动脉瘤破裂进入胆道导致血胆症的病例。除了黑便、右上腹疼痛和黄疸这一典型症状三联征外，两名患者均并发了胰腺炎。在一名患者中，通过内镜检查确诊为血胆症。作者建议对此类患者进行内镜检查，并强调因胰管梗阻继发的胰腺炎在血胆症中可能比已报道的更为常见。
