Hemobilia complicating needle liver biopsy. A case report with arteriographic demonstration.
Massive hemobilia secondary to a needle liver biopsy developed in a 16-year-old boy with Hodgkin's disease. Cholecystectomy and common bile duct drainage failed to control the condition and the patients bled massively; management of the hemobilia was effected with left hepatic artery ligation. A review of the literature is presented, with a brief discussion of the clinical picture, pathophysiology, diagnosis, and management of this condition.
D000293:Adolescent; D001660:Biliary Tract Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001707:Biopsy, Needle / Q000009:adverse effects*; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006499:Hepatic Artery / Q000601:surgery; D006689:Hodgkin Disease / Q000473:pathology; D006801:Humans; D008026:Ligation; D008297:Male; D011859:Radiography