Hemobilia - A Sporadic Cause of Hematemesis

A multitude of reasons contribute to gastrointestinal hemorrhage, hemobilia being less frequent. Here we present a case of hematemesis who was later found to have bleeding from the biliary tract that was due to pseudo-aneurysm arising from the hepatic artery. The diagnosis was supported by angiogram. He underwent coil embolization post which bleeding stopped. We present this case since hemobilia is a rare event and classical finding of blood clot on the ampulla on endoscopy is rare as seen in our case.