Massive gastrointestinal bleeding – do not overlook the role of the pancreatobiliary system

Introduction: Among the rare causes of „difficult-to-diagnose-and-treat“ gastrointestinal bleedings are the haemobilia and Wirsungorrhagia. Patients and methods: During 8 years nine patients were admitted to our department with life threatening bleeding from the papilla of Vater. We had two cases of iatrogenic pseudoaneurysm after laparoscopic cholecystectomy. Both patients required more than 20 units of blood suspension. One of them did not survive despite surgical and endoscopic interventions, while in the other, a 25 year-old patient, the transarterial embolization of the left hepatic artery was succesfully p…