Abstract
• The most common causes of hemobilia are iatrogenic, trauma related and neoplastic. • The most common spontaneous cause of hemobilia is primary or metastatic hepatobiliary malignancy. • Hemobilia is a (1–7 %) rare presenting sign of biliary neoplasm. • Hemobilia's classic presentation triad is right upper quadrant (RUQ) pain, GI bleeding, and jaundice.