title: Posttraumatic bilhemia: conservative management by percutaneous drainage.
abstract: Posttraumatic bilhemia complicating liver trauma has been managed surgically so far. A case report of a biliary-venous fistula resulting from blunt hepatic trauma managed successfully by percutaneous drainage is presented. A catheter was placed in the right hepatic lobe for reducing intrahepatic pressure. This procedure was followed by a dramatic decrease of bilirubin blood level. This management emphasizes the role of interventional radiology in the treatment of complicated blunt hepatic trauma.
authors.affiliation: Department of Diagnostic Radiology, University of Freiburg, Federal Republic of Germany.
authors.forename: U
authors.initials: U
authors.lastname: Blum
authors.forename: C
authors.initials: C
authors.lastname: Buitrago-Tellez
authors.forename: M
authors.initials: M
authors.lastname: el Seif
authors.forename: B
authors.initials: B
authors.lastname: Wimmer
mesh_terms: D000328:Adult; D001646:Bile; D001649:Bile Duct Diseases / Q000209:etiology; D001653:Bile Ducts, Intrahepatic / Q000293:injuries; D001658:Biliary Fistula / Q000209:etiology; D001663:Bilirubin / Q000097:blood; D001769:Blood; D004322:Drainage; D005402:Fistula / Q000209:etiology; D006801:Humans; D008099:Liver / Q000293:injuries*; D008297:Male; D011168:Portal System / Q000293:injuries; D014652:Vascular Diseases / Q000209:etiology; D014949:Wounds, Nonpenetrating / Q000150:complications*
chemical_list: D001663:Bilirubin