Post-traumatic hemobilia.
Four patients with post-traumatic hemobilia were evaluated with arteriography over a 2 year period. In two patients hemobilia was of iatrogenic origin; in particular, one case appeared after a cholecystectomy, and the other was due to placement of a biliary stent with an endoscope. In the other two patients hemobilia was the result of a gun injury. Arteriography of the hepatic arterial system demonstrated two false aneurysms, extravasation of contrast medium through the biliary system in one patient and arterioportal fistula in another patient. It is concluded that arteriography of the hepatic arterial system is the method of choice for the evaluation and the possible treatment of patients with hemobilia.
Vlahos
L
L
Department of Radiology, University of Athens, Areteion Hospital, Greece.
Kalovidouris
A
A
Gouliamos
A
A
Kailidou
E
E
D000293:Adolescent; D000328:Adult; D000792:Angiography; D001652:Bile Ducts / Q000293:injuries*; D005260:Female; D006431:Hemobilia / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D007049:Iatrogenic Disease; D008099:Liver / Q000098:blood supply / Q000000981:diagnostic imaging / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D014948:Wounds, Gunshot / Q000150:complications