Hemobilia--successful treatment by angiographic embolization.
Hemobilia after major liver trauma is a difficult problem to manage. We report a case of an 18-year-old male who sustained major liver trauma. Bleeding was controlled at laparotomy. Seventeen days after surgery hematemesis and intermittent bleeding from the drain occurred. Hepatic artery angiography demonstrated a pseudoaneurysm of one of the branches. Gelfoam embolization successfully controlled the bleeding. Review of the literature reveals that hemobilia has been treated by a conservative means as well as by surgery. Hepatic angiography to localize the site of bleeding and then embolization to control the hemorrhage now constitute the preferred method of treatment.
Department of Surgery, Toronto Western Hospital, Ontario, Canada.
M
M
Lee
H S
HS
Himal
D000293:Adolescent; D004621:Embolization, Therapeutic; D005781:Gelatin Sponge, Absorbable / Q000627:therapeutic use; D006431:Hemobilia / Q000209:etiology / Q000628:therapy*; D006499:Hepatic Artery; D006801:Humans; D008099:Liver / Q000293:injuries*; D008297:Male; D013997:Time Factors