[Hemobilia: a case, complications, follow-up].

INTRODUCTION

Therapy implies beneficial and adverse reactions and consequences presented in this patient who hand hemobilia syndrome and life-threatening systemic complications.

CASE PRESENTATION: Clinical retrospective study of a 59-year-old female with multiparity, blood type A Rh (-) who was admitted in clinical condition with syndromatic diagnosis of mixed shock, acute abdomen, obstructive and/or hepatocellular jaundice, pre-renal hyperazohemia with olyguria leading to multiple organ failure requiring surgical and intensive care treatment.

DISCUSSION: In this case, life-threatening complications due to reanimation from state of shock delayed urgent laparotomy for acute abdomen finding and treating hemobilia with cholecistostomy with long-term external biliary drainage. In multiple organ and system failure syndrome, it was important to identify, prevent, and/or treat physiopathologic complications with available resources to recover patient health patient. We made observations concerning recovery and follow-up.