True regarding hemobilia: (A) Triad of jaundice, pain, Melena, (B) MC cause : rupture of poal vein into biliary system, (C) MR angiography is the IOC, (D) None of the above
Answer is A. Clinical features of Hemobilia Characterised by Quinck's triad (Sandblom's triad) : GI hemorrhage +biliary colic +jaundice Presentation: Melena (90 %), hemetemesis (60%), biliary colic (70%), and jaundice (60%). Tendency for delayed presentation (upto weeks) and recurrent brisk but limited bleeding over months and even years Ref : Sabiston 20th edition Pgno :1472-1474