Acute cholecystitis secondary to hemobilia

Invasive diagnostic and therapeutic techniques such as percutaneous transhe patic cholangiography, endoscopic retrograde cholangiopancreatography (ERCP ), transjugular intrahepatic portosystemic shunting, and laparoscopic chole cystectomy have led to a rise in hemobilia, Most complications from hemobil ia are attributable to acute blood loss; other complications are secondary to thrombus formation in the biliary tree. We present a case report of acut e cholecystitis secondary to hemobilia after percutaneous liver biopsy. The role of ERCP in the diagnosis and treatment of this exceedingly rare event is discussed.