Hemobilia complicating hepatic cryosurgery.
We describe a 58-year-old man who developed hemobilia following hepatic cryotherapy. This was complicated by acute pancreatitis and recurrent cholangitis, which necessitated multiple endoscopic procedures (including biliary stenting) for successful management. As cryotherapy becomes more widely applied in the management of patients with liver tumors, it is essential that surgeons safeguard against the development of arteriobilious fistulae.
Frank
J L
JL
Department of Surgery, Baystate Medical Center, Springfield, Massachusetts 01199, USA. frankjm@bmcnorth.bhs.org
Navab
F
F
Ly
K
K
Reed
W P
WP
D000208:Acute Disease; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002761:Cholangitis / Q000150:complications; D003452:Cryosurgery / Q000009:adverse effects*; D006431:Hemobilia / Q000209:etiology*; D006498:Hepatectomy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000150:complications