Posttraumatic bilhemia: conservative management by percutaneous drainage.
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.
Blum
U
U
Department of Diagnostic Radiology, University of Freiburg, Federal Republic of Germany.
Buitrago-Tellez
C
C
el Seif
M
M
Wimmer
B
B
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*
D001663:Bilirubin