Arterial embolization for traumatic hemobilia with hepato-portal fistula.
A case of blunt liver trauma complicated by delayed upper gastrointestinal bleeding, probably hemobilia, was successfully treated by intra-arterial embolization. Laparotomy with liver resection or hepatic artery ligation--procedures that carry a high morbidity and mortality in a critically ill patient--were avoided. Embolization techniques can be a valuable alternative to surgery in the management of hepatic trauma with delayed hemorrhage in selected, high-risk cases.
D000328:Adult; D001658:Biliary Fistula / Q000628:therapy*; D004621:Embolization, Therapeutic; D006431:Hemobilia / Q000000981:diagnostic imaging / Q000628:therapy*; D006499:Hepatic Artery / Q000000981:diagnostic imaging; D006801:Humans; D008099:Liver / Q000293:injuries*; D008297:Male; D011859:Radiography; D014949:Wounds, Nonpenetrating / Q000628:therapy