비외상성 혈액담즙증 = Non - traumatic Hemobilia비외상성 혈액담즙증

다국어 초록 (Multilingual Abstract)

Authors reviewed 8 cases of non-traurnatic hemobilia from Oct. 1st 1975 to Sep. 30th 1982, at the Department of Surgery, Seoul National University Hospital and arrived at the following conclusions. 1)Hemobilia associated with hepatobiliary malignancy were 5 cases, and hemobilia associated with hepatobiliary inflammation were 3 cases. 2) The main symptom of hemobilia associated with hepatobiliary malignancy was mostly jaundice, but those associated with hepatobiliary inflammation was gastrointeatinal bleeding. 3) 0ccult blood in feces proved very important in diagnosing hemobilia associated with hepatobiliary maligncies. 4) Blood clots in the common bile duct in patients with malignancies were helpful in confirming the diagnosis of original disease. 5) In cases of obstructive jaundice associated with hepatobiliary malignanies hemobilia must be considered in diagnosis 6) In cases of massive gastrointestinal bleeding of unknown origin, hemobilia must be considered in diagnosis, especially when the patient has a history of biliary colic, and also the exploration of the hepatobiliary area is mandatory during surgery 7) The possibility of blood clots due to minor bemobilia must be considered in differential diagnosis of filling defects in postoperative cholongiograms and unnecesary surgery must be avoided. 8) Ligation of hepatic artery branch was effective in treating symptomatic non-trarmatic hemobilia.