Dr Henry Knipe and Radswiki et al.

Haemobilia refers to the presence of blood in the biliary tree.

Clinical presentation

The classical clinical triad, only seen in ~50% of cases, consists of:

  1. melaena (i.e. upper gastrointestinal bleeding)
  2. jaundice
  3. abdominal pain


  • iatrogenic: surgical or percutaneous procedures (~67%)
  • trauma (~5%)
  • vascular malformations (7%)
    • e.g. hepatic artery aneurysm or arteriovenous malformation
    • can cause massive haemobilia
  • malignancy: most commonly hepatocellular carcinoma
  • abscess formation
  • gastrointestinal bleed due to gallstones

Radiographic features


Ultrasound is often the first investigation and reveals echogenic material in the bile ducts and dilated gallbladder.

  • high-attenuation clot within the bile ducts
Edit Article Share Article

Article Information

rID: 12605
System: Hepatobiliary
Section: Gamuts
Synonyms or Alternate Spellings:
  • Hemobilia
  • Drag
    Case 1
    Drag here to reorder.
  • Drag
    Common bile duct ...
    Case 2: post biopsy
    Drag here to reorder.
  • Updating… Please wait.


    Error Unable to process the form. Check for errors and try again.

    Alert_accept Thank you for updating your details.