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British Journal of Radiology (1996) 69, 79-81
© 1996 British Institute of Radiology
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The British Journal of Radiology, Vol 69, Issue 817 79-81, Copyright © 1996 by British Institute of Radiology

ARTICLES

Case report: malignant haemobilia detected in the gallbladder--retrograde cholangiographic findings

H Osawa, Y Mori and F Inoue
Department of Internal Medicine, Nishiarita Kyoritsu Hospital, Japan.

Haemobilia caused by gallbladder cancer is a rare condition and cholangiography rarely detects gallbladder haemorrhage because cancer cells or blood clots obstruct the cystic duct. We describe a patient with haemobilia caused by gallbladder cancer, in whom retrograde cholangiography showed a cast-like filling defect in the common bile duct and, in addition, several string-like defects in the gallbladder. The string-like defects appeared to be streams of clotted blood flowing towards the common bile duct in this case of relatively minor haemorrhage.




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