Hemobilia caused by cytomegalovirus cholangiopathy

Prasad G Iyer, Susan C. Abraham, Todd H. Baron, Mark Topazian

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

A 57-yr-old male on long-term steroid therapy presented with hematemesis, fever, and a retroperitoneal fluid collection. Hemobilia was diagnosed, but the cause was not identified by ERCP, computed tomography, or angiography. Peroral cholangioscopy revealed multiple biliary ulcers. Cholangioscopic biopsies diagnosed cytomegalovirus (CMV) infection. Intravenous ganciclovir therapy was initiated, and was associated with cessation of bleeding. Biliary CMV disease is rare in HIV-negative persons, but should be considered in a patient with unexplained hemobilia. Cholangioscopy may be useful for diagnosis.

Original languageEnglish (US)
Pages (from-to)2592-2595
Number of pages4
JournalAmerican Journal of Gastroenterology
Volume100
Issue number11
DOIs
StatePublished - Nov 1 2005

Fingerprint

Hemobilia
Cytomegalovirus
Hematemesis
Ganciclovir
Endoscopic Retrograde Cholangiopancreatography
Cytomegalovirus Infections
Rare Diseases
Ulcer
Fever
Steroids
HIV
Hemorrhage
Biopsy
Therapeutics
Computed Tomography Angiography

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

Cite this

Hemobilia caused by cytomegalovirus cholangiopathy. / Iyer, Prasad G; Abraham, Susan C.; Baron, Todd H.; Topazian, Mark.

In: American Journal of Gastroenterology, Vol. 100, No. 11, 01.11.2005, p. 2592-2595.

Research output: Contribution to journalArticle

Iyer, Prasad G ; Abraham, Susan C. ; Baron, Todd H. ; Topazian, Mark. / Hemobilia caused by cytomegalovirus cholangiopathy. In: American Journal of Gastroenterology. 2005 ; Vol. 100, No. 11. pp. 2592-2595.
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