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.
Lee
M
M
Department of Surgery, Toronto Western Hospital, Ontario, Canada.
Himal
H S
HS
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