[Traumatic hemobilia. A case report (author's transl)].
A case of traumatic hemobilia is reported. After ligation of the left hepatic artery and additional dearterialisation a third bleeding period occured due to a porto-hepatic communication, diagnosed by a transumbilical portography. A left hepatic lobectomy was finally necessary to achieve hemostasis. This case demonstrates that a selective artery ligation for the treatment of hemobilia is only successful if a complete dearterialisation is performed at the first operation. Furthermore a porto-hepatic communication may require partial hepatectomy.
D000328:Adult; D001660:Biliary Tract Diseases / Q000209:etiology* / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D006489:Hemostatic Techniques; D006801:Humans; D008026:Ligation; D008297:Male; D011183:Postoperative Complications; D012008:Recurrence; D013997:Time Factors; D014947:Wounds and Injuries / Q000150:complications*
Posttraumatische Hämobilie. Ein kasuistischer Beitrag.