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Journal of Ultrasound in Medicine, Vol 16, Issue 8 537-543, Copyright © 1997 by American Institute of Ultrasound in Medicine

JOURNAL ARTICLE

Hemobilia: sonographic appearances in the gallbladder and biliary tree with emphasis on intracholecystic blood

F. C. Laing, M. C. Frates, V. A. Feldstein, R. B. Goldstein and S. Mondro
Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

The purpsoe of this study is to discuss the causes and sonographic appearances of blood in the gallbladder and biliary tree. Over a 12 year period, 18 patients with hemobilia had ultrasonographic examinations at one of three hospitals. Hemobilia was categorized as traumatic (50%), spontaneous (28%), or inflammatory (22%), with coagulopathy present in half of the cases. The sonographic appearances of intracholecystic blood varied, but with the exception of a single case, masslike intracholecystic material was present. Biliary dilatation occurred in five patients, with echogenic material visible in the extrahepatic bile duct in three of these cases.




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Copyright © 1997 by the American Institute of Ultrasound in Medicine.