An unusual cause of hemobilia diagnosed on EUS

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Presentation transcript:

An unusual cause of hemobilia diagnosed on EUS Malay Sharma, MD, DM VideoGIE Volume 2, Issue 5, Pages 104-105 (May 2017) DOI: 10.1016/j.vgie.2017.02.006 Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 A, Linear EUS from the duodenal bulb showing an 8-mm × 7-mm cystic-appearing lesion in the head/neck region of the pancreas. B, Color-flow and Doppler image showing vascular flow in the anechoic area. C, Pulse Doppler image showing arterial wave pattern in the vascular lesion whose origin appears to be the gastroduodenal artery. D, Radial EUS view from the duodenal bulb showing the vascular lesion to be originating from the gastroduodenal artery. E, Radial EUS view revealing characteristic “yin-yang” flow with bidirectional waveform pattern on color Doppler US. CBD, common bile duct; PD, pancreatic duct. VideoGIE 2017 2, 104-105DOI: (10.1016/j.vgie.2017.02.006) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions