From: Cholangiocarcinoma presenting as hemobilia and recurrent iron-deficiency anemia: a case report
Variable | 1st admission (with cholelithiasis) Day 0 | 2nd admission At 12 months | 3rd admission At 18 months | 4th admission At 19 months |
---|---|---|---|---|
Hemoglobin | 11.0 | 7.6 | 5.5 | 4.7 |
Mean corpuscular volume | 91.2 | 77.7 | 91.0 | 96 |
Ferritin | - | - | 10 | - |
Albumin | 30 | 33 | 27 | 23 |
Bilirubin | 153 | 18 | 13 | 8 |
Alkaline phosphatase | 778 | 394 | 256 | 270 |
Alanine aminotransferase | 338 | 24 | 19 | 20 |
Intervention | - ERCP + sphincterotomy - Repeat ERCP normal | - Red cell transfusion | - Red cell transfusion - Parenteral iron | - OGD: Hemobilia - CT: Cholangiocarcinoma ⇒ Right hemi-hepatectomy |