%0 Journal Article
%T Causa rara de icter¨ªcia obstrutiva
%A Santos
%A Liliana
%A Coimbra
%A Jo£¿o
%A Sousa
%A Isabel
%A Ramos
%A Gon£¿alo
%A Carvalho
%A Ana
%A Martins
%A Jo£¿o
%J Jornal Portugu¨ºs de Gastrenterologia
%D 2012
%I Sociedade Portuguesa de Gastrenterologia
%X hemobilia is a rare affection, which in less than 10% of the cases is associated with hepatic or intrabiliary neoplasm. we present a patient, with alcoholic hepatic cirrhosis that presented with jaundice and coluria. endoscopic retrograde cholangiopancreatography [ercp] was negative for dilation or endoluminal lesions of the common bile duct; forgaty balloon and dormia basket exploration revealed biliary microlithiasis. due to clinical deterioration, with increasing jaundice 24 hours, another ercp was performed, that disclosed the presence of a blood clot in the common biliary duct. the following clinical investigation showed a 6 cm hepatic nodule that extended to the peri£¿hilar biliary tree. the patient died 33 days after the admission, due to septic shock secondary to respiratory tract infection
%K hemoptysis
%K etiology
%K diagnosis
%K treatment.
%U http://www.scielo.gpeari.mctes.pt/scielo.php?script=sci_abstract&pid=S0872-81782012000200008&lng=en&nrm=iso&tlng=en