[Modern diagnosis and therapy of traumatic hemobilia in childhood].
The authors report on the first case of haematobilia diagnosed in childhood by means of sonography. Massive haematemesis occurred in a six-year-old boy on the 57th postoperative day after an oversewn rupture of the liver. Sonography revealed an atonic gallbladder with stratification phenomena and free floating highly reflecting coagulates, as well as pulsations and flow phenomena in an area of the size of a bean at the floor of a necrotic cavity of the liver (aneurysm). Relaparotomy was done by locating the aneurysm via sonography and performing a purse-string ligature. The high mortality rate of 10 to 20% can be reduced if the gradually evolving condition is identified at an early stage, which means that regular sonographic examinations should be conducted in the postoperative control of liver rupture. Intraoperative sonography with sterilisable sound heads enables accurate location of the source of bleeding.
D000783:Aneurysm / Q000601:surgery; D001164:Arteriovenous Fistula / Q000601:surgery; D002648:Child; D006431:Hemobilia / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008099:Liver / Q000293:injuries* / Q000601:surgery; D008297:Male; D011183:Postoperative Complications / Q000601:surgery; D012086:Reoperation; D012421:Rupture; D014463:Ultrasonography; D014949:Wounds, Nonpenetrating / Q000175:diagnosis
Moderne Diagnostik und Therapie der traumatischen Hämobilie im Kindesalter.