[Post-traumatic hemobilia. How to treat? Apropos of a case].
Severe hemobilia after blunt hepatic trauma is one of the limits for a conservative medical treatment. Urgent percutaneous highly selective embolization of the bleeding vessel is the treatment of choice today. Failures of radiological treatment require surgery. Primary direct ligation of the bleeding vessel carries a risk of recurrence and prevents subsequent embolization. Under these conditions, when the surgeon prefers a conservative approach, preoperative embolization using permanent material can be performed as reported in our case study.
Service de Chirurgie Digestive, CHRU Côte de Nâcre, CAEN, France.
J
J
Maurel
K
K
Aouad
B
B
Martel
P
P
Segol
M
M
Gignoux
D000063:Accidents, Traffic; D000328:Adult; D017541:Aneurysm, False / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D000792:Angiography; D004621:Embolization, Therapeutic / Q000379:methods; D005260:Female; D006431:Hemobilia / Q000209:etiology* / Q000601:surgery; D006499:Hepatic Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008099:Liver / Q000293:injuries* / Q000601:surgery; D008107:Liver Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D012008:Recurrence
Hémobilie post-traumatique. Quel traitement? A propos d'un cas.