Hepatocellular carcinoma with Hemobilia and Obstructive Jaundice

A case with hemobilia and obstructive jaundice caused by hepatocellular carcinoma was presented. A 57 year-old woman who was suffered from liver cirrhosis was transferred to ambulatory clinic in our hospital, because of the sudden onset of severe abdominal pain. She had operation of acute cholecystitis diagnosed by surgeons. During the operation, the hemobilia was observed in the gall bladder and the common bile duct. At about 3.5 moiths after the operation, she died of remarkable anemia and jaundice. Autopsy revealed the hemobilia due to hepatocellular carcinoma invasion into the bile duct. A few report of describe that severe obdominal pain caused by hemobilia in this case gave an occasion of analysis suggested that the ultrasonography was an important study among the examinations performed.

Hepatocelluar carcinoma

Hemobilia

Obstructive jaundice