[Post-traumatic hemobilia and successful direct treatment of the arteriobiliary fistula].
Traumatic hemobilia is a rare complication of deep and central liver injuries. Repeated and massive bleeding requires an active therapy. For diagnosis of the arterial-biliary fistula, most advantageous is a transcutaneous selective arteriography which can be used also for therapeutic embolization. Of surgical techniques, ligature of the art.hepatica comm. or propria and direct closure of the fistula in the liver parenchyma are recommended. The authors report on such a successful direct intervention in a 9-year-old girl.
Králík
J
J
I. Chirurgische Universitätsklinik, Palacký Universität, Olomouc, CSFR.
Vojácek
P
P
D001653:Bile Ducts, Intrahepatic / Q000000981:diagnostic imaging / Q000293:injuries*; D001658:Biliary Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D002648:Child; D005260:Female; D006431:Hemobilia / Q000000981:diagnostic imaging / Q000601:surgery*; D006499:Hepatic Artery / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008099:Liver / Q000293:injuries* / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D012086:Reoperation; D013369:Subphrenic Abscess / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000601:surgery*
Die posttraumatische Hämobilie und die erfolgreiche direkte Behandlung einer arteriobiliären Fistel.