Download PDF
Endoskopie heute 2003; 16(4): 216-218
DOI: 10.1055/s-2003-819985
Quiz

© Georg Thieme Verlag Stuttgart · New York

Sonoquiz

Sono-QuizE. Günter1
  • 1Dr. Horst-Schmidt-Kliniken, Innere Medizin II, Wiesbaden
Further Information

Publication History

Publication Date:
19 February 2004 (online)

Also available at
    Permissions and Reprints

Fragestellung

Ein 79-jähriger Patient war wegen Blutzuckerentgleisung notfallmäßig stationär aufgenommen worden. Im Verlaufe des stationären Aufenthaltes setzte er plötzlich Teerstuhl ab, der Hb-Wert fiel um 3 g/dl. Die ÖGD zeigte eine Refluxösophagitis 1. Grades. Der Patient klagte über rechtsseitige Oberbauchschmerzen, gleichzeitig fiel ein Anstieg der Cholestaseparameter im Serum auf. Die Sonographie des rechten Oberbauches ergab das folgende Bild (Abb. [1]).

Abb. 1

Literatur

  • 1 Aschl G, Wallner M, Tuppy H, Frohler W, Kramar R. Angioleiomyom der Gallenblase. Seltene Ursache einer Haemobilie bei einem Dialysepatienten.  Dtsch Med Wochenschr. 1999;  124 13-16
    PubMedSearch in Google Scholar
  • 2 Chu E C, Chick W, Hillebrand D J, Hu K Q. Fatal spontaneous gallbladder variceal bleeding in a patient with alcoholic cirrhosis.  Dig Dis Sci. 2002;  47 2682-2685
    CrossrefPubMedSearch in Google Scholar
  • 3 Coelho J C, Bonin E A, daCosta M A, daCunha A G, Sartor M A. Acute cholecystitis secondary to hemobilia after percutaneous liver biopsy.  Dig Surg. 2001;  18 227-229
    CrossrefPubMedSearch in Google Scholar
  • 4 Delgadillo X, Berney T, dePerrot M, Didier D, Morel P. Successful treatment of a pseudoaneurysm of the cystic artery with microcoil embolization.  J Vasc Interv Radiol. 1999;  10 789-792
    PubMedSearch in Google Scholar
  • 5 Ellington R T, Seidel R H, Burdick J S, Peterson W L, Harford W V. Acalculous cholecystitis presenting as hemobilia and jaundice.  Gastrointest Endosc. 2000;  51 218-220
    PubMedSearch in Google Scholar
  • 6 England R E, Marsch P J, Ashleigh R, Martin D F. Case report: pseudoaneurysm of the cystic artery: a rare cause of haemobilia.  Clin Radiol. 1998;  53 72-75
    PubMedSearch in Google Scholar
  • 7 Francica G, Marone G, Solbiati L, deAngelo V, Siani A. Hemobilia, intrahepatic hematoma and acute thrombosis with cavernomatous transformation of the portal vein after percutaneous thermoablation of a liver metastasis.  Eur Radiol. 2000;  10 926-929
    CrossrefPubMedSearch in Google Scholar
  • 8 Gomez M, Couthon A, Gilbert B, Watteau N, Roger R, Scotto B, Alison D. Contusion vesiculaire isolee posttraumatique: a propos d un cas.  J Radiol. 2002;  83 490-491
    PubMedSearch in Google Scholar
  • 9 Heise C P, Giswold M, Echkhoff D, Reichelsdoerfer M. Choleystitis caused by hemocholecyst from underlying malignancy.  Am J Gastroenterol. 2000;  95 805-808
    CrossrefPubMedSearch in Google Scholar
  • 10 Jones R L, Mackie G, Taylor S A. Case report: gallbladder carcinoma - an unusual cause of haemobilia.  Clin Radiol. 1997;  52 962-963
    CrossrefPubMedSearch in Google Scholar
  • 11 Kohler B, Riemann J F. Gastrointestinale Butung. In: Hahn EG, Riemann JF: Klinische Gastroenterologie. Thieme Verlag 1996; 385-400
  • 12 Kubota H, Kageoka M, Iwasaki H. et al . A patient with undifferentiated carcinoma of gallbladder presenting with hemobilia.  J Gastroenterol. 2000;  35 63-68
    PubMedSearch in Google Scholar
  • 13 Laing F C, Frates M C, Feldstein V A, Goldstein R B, Mondro S. Hemobilia: sonographic appearances in the gallbladder and biliary tree with emphasis on intracholecystic blood.  J Ultrasound Med. 1997;  16 537-543
    PubMedSearch in Google Scholar
  • 14 Losanoff J E, Kjossev K T. Posttraumatic intra-gallbladder hemorrhage.  J Gastroenterol. 2000;  35 75-76
    PubMedSearch in Google Scholar
  • 15 Maeda A, Kunou T, Saeki S. et al . Pseudoyneurysm of the cystic artery with hemobilia treated by arterial embolization and elective cholecystectomy.  J Hepatobiliary Pankreat Surg. 2002;  9 755-758
    PubMedSearch in Google Scholar
  • 16 Mori M, Kohzaki S, Makino K. et al . Spontaneous intracholecystic hemorrhage due to polyarteritis nodosa.  J Comp Assist Tomogr. 1998;  22 730-731
    PubMedSearch in Google Scholar
  • 17 Nishiwaki M, Ashida H, Nshimura T. et al . Posttraumatic intra-gallbladder hemorrhage in a patient with liver cirrhosis.  J Gastroenterol. 1999;  34 282-285
    CrossrefPubMedSearch in Google Scholar
  • 18 Obi S, Shiratori Y, Shiina S. et al . Early detection of haemobilia associated with percutaneous ethanol injection for hepatocellular carcinoma.  Eur J Gastroenterol Hepatol. 2000;  12 285-290
    PubMedSearch in Google Scholar
  • 19 Qu G, Kaur J S, Seward J B. Metastatic melanoma presenting as cardiac mass and hemobilia.  Amm J Med Sci. 2003;  325 157-159
    PubMedSearch in Google Scholar
  • 20 Ritz J P, Germer C T, Buhr H J. Haemobilie bei Cholecystolithiasis als seltene Ursache einer massiven oberen gastrointestinalen Blutung.  Chirurg. 1997;  68 87-89
    CrossrefPubMedSearch in Google Scholar
  • 21 Sherlock S, Dooley J. Imaging of the Biliary Tract: Interventional Radiolgy and Endoscopy. In: Diseases of the Liver and Biliary System. Blackwell Science 2002; 563-581
  • 22 Uchiyama K, Aida N, Shibuya T, Tanaka S. Early carcinoma of the gallbladder accompanied by hemobilia: report of a case.  Surg Today. 1998;  28 763-767
    CrossrefPubMedSearch in Google Scholar
  • 23 Vettoretto N, Giovanetti M, Regina P, Baronchelli C, Giulini S M. Hemorrhagic cholecystitis as a likely cause of nontraumatic hemobilia in metachromatic leukodystrophy: report of a case.  Ann Ital Chir. 2001;  72 725-728
    PubMedSearch in Google Scholar
  • 24 Yamamoto T, Kubo S, Hirohashi K. et al . Secondary hemocholecyst after radiofrequency ablation therapy for hepatocellular carcinoma.  J Gastroenterol. 2003;  38 399-403
    CrossrefPubMedSearch in Google Scholar

Dr. med. E. Günter

Dr. Horst-Schmidt-Kliniken

Innere Medizin II

Ludwig-Erhard-Str. 100

65199 Wiesbaden