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  • Title: Haemobilia: secondary to micro aneurysms of hepatic artery.
    Author: Mushtaq I, Cheema HA, Malik HS, Din NU.
    Journal: J Pak Med Assoc; 2020 May; 70(5):917-919. PubMed ID: 32400753.
    Abstract:
    Hepatic artery is the fourth most common site of the intraabdominal aneurysm, after infra renal aorta, iliac artery and splenic artery aneurysms. Rupture of the aneurysm may lead to the upper gastrointestinal haemorrhage. Here we report a 5 years old boy, who presented with fever, abdominal distension and unexplained upper GI bleed. Upper GI endoscopy revealed a normal esophagus and stomach with clear evidence of haemobilia with blood oozing from the ampulla. Fluoro- guided angiography followed by embolization of hepatic artery branches with 5 metallic coils was performed in this case by an interventional radiologist.
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