Bleeding into the biliary tree that can be associated with liver biopsy, blunt trauma, or rupture of a hepatic artery aneurysm is called what?

Bleeding into the biliary tree that can be associated with liver biopsy, blunt trauma, or rupture of a hepatic artery aneurysm is called what?

• A. Hemobilia
• B. Hepatic Hemorrhage
• C. Bile Duct Trauma
• D. Portal Vein Bleeding

Answer: (A)

Hemobilia is bleeding into the bile ducts. It occurs when arterial blood enters the biliary system, typically after procedures or injuries such as a liver biopsy, blunt liver trauma, or rupture of a hepatic artery aneurysm. The blood flows through the ducts and can present with gastrointestinal bleeding as it drains into the duodenum, and may also cause right upper quadrant pain or jaundice if ducts are obstructed by clotted blood. This specific intraductal bleeding distinguishes it from hepatic hemorrhage (bleeding from liver tissue into the abdomen), bile duct trauma (injury to the ducts without intraductal bleeding), or portal vein bleeding (originating from the portal venous system and not primarily within the biliary tree).

Hemobilia is bleeding into the bile ducts. It occurs when arterial blood enters the biliary system, typically after procedures or injuries such as a liver biopsy, blunt liver trauma, or rupture of a hepatic artery aneurysm. The blood flows through the ducts and can present with gastrointestinal bleeding as it drains into the duodenum, and may also cause right upper quadrant pain or jaundice if ducts are obstructed by clotted blood. This specific intraductal bleeding distinguishes it from hepatic hemorrhage (bleeding from liver tissue into the abdomen), bile duct trauma (injury to the ducts without intraductal bleeding), or portal vein bleeding (originating from the portal venous system and not primarily within the biliary tree).