Melaena ve sarılık ile seyreden Klatskin tümörü; ilginç bir hemobili olgusu

Yıl 2011, Cilt: 19 Sayı: 1, - , 01.04.2011

Diğdem Özer Etik Öykü Tayfur Yürekli Bülent Ödemiş Selçuk Dişibeyaz Erkan Parlak

https://doi.org/10.17940/endoskopi.74880

Öz

Hemobili, safra yollarına kanama olmasıdır. Üst gastrointestinal kanamalarının nadir bir nedenidir. Hemobilinin en sık etiyolojik nedeni iyatrojenik veya travmatik olaylardır. Kolanjiokarsinom, nadir bir gastrointesinal tümör olup hemobili ile ortaya çıkabilir. Burada 77 yaşında, varfarin kullanan, uzamış melaena ve sarılık şikayeti ile gelen bir olguyu sunmaktayız.

Anahtar Kelimeler

Hemobili, varfarin, kolanjiokarsinom

Klatskin tumor presented with melena and jaundice: interesting case with hemobilia

Öz

Hemobilia bleeding into the biliary tree is an unusual cause of upper gastrointestinal bleeding. Generally, etiologies of hemobilia are iatrogenic or traumatic in origin. Cholangiocarcinoma is a rare gastrointestinal tumor that can become evident with hemobilia. We present a 77-year-old female with a history of warfarin use, who suffered from a protracted course of melena and jaundice.

Anahtar Kelimeler

Hemobilia, warfarin, cholangiocarcinoma

Kaynakça

• Thong-Ngam D, Shusang V, Wongkusoltham P, et al. Hemobilia: four case reports and review of the literature. J Med Assoc Thai 2001; 84: 438-44.
• Manolakis AC, Kapsoritakis AN, Tsikouras AD, et al. Hemobilia as the initial manifestation of cholangiocarcinoma in a hemophilia B patient. World J Gastroenterol 2008; 14: 4241-4.
• Killeen RP, Torreggiani WC, Malone DE, Brophy DP. Hemobilia as a po- tential complication in patients treated with photodynamic therapy for unresectable cholangiocarcinoma. Gastrointest Cancer Res 2009; 3: 80.
• Hayano K, Miura F, Amano H, et al. Arterio-biliary fistula as rare comp- lication of chemoradiation therapy for intrahepatic cholangiocarcinoma. World J Radiol 2010; 2: 374-6.
• Lee TC, Huang SP, Yang JY, et al. Age is not a discriminating factor for outcomes of therapeutic upper gastrointestinal endoscopy. Hepatogas- troenterology 2007; 54: 1319-22.
• Rerknimitr R, Kongkam P, Kullavanijaya P. Treatment of tumor associa- ted hemobilia with a partially covered metallic stent. Endoscopy 2007; 39: E225.