Definition

• • Blood draining via the common bile duct into the duodenum

Clinical presentation

Triad:

• 1. RUQ pain

  2. Guaiac positive/upper GI bleeding

  3. Jaundice

Etiology

• • Trauma with liver laceration, percutaneous transhepatic cholangiography (PTC), tumors

Diagnosis

• • EGD (blood out of the ampulla of Vater), A-gram

Treatment

• • A-gram with embolization of the bleeding vessel