Investigation of choice in Hemobilia?: (A) ERCP, (B) Angiography, (C) Upper GI endoscopy, (D) Barium study
Answer is B. * Hemobilia is suspected if Upper GI endoscopy shows presence of blood in duodenum but confirmation of diagnosis is done only after angiography. * Celiac axis angiography should always be accompanied with superior mesenteric aeriography because anomalous/accessory right hepatic aery may originate from the SMA.