Management of hemobilia with transarterial angiographic embolization: report of one case.
A nine-year-old girl who developed life threatening hemobilia after blunt abdominal trauma was successfully managed by embolization of the hepatic artery aneurysm. However, biliary fistula persisted and subcapsular liver abscess occurred after the endoscopic sphincterotomy and the placement of a nasobiliary drain for bile leakage. Debridement of the abscess and insertion of a drain tube eventually cured the event. The relevant literature is reviewed and the management of the hemobilia is discussed.
Lau
Beng-Huat
BH
Department of Pediatrics, Shin Kong Wu-Ho-Su Memorial Hospital, Taipei, Taiwan. laukawei85@yahoo.com.tw
Lee
Jing-Sheng
JS
Sung
Tseng-Chen
TC
Yeh
Ming-Lun
ML
Lu
Ta-Nien
TN
Sun
Cheuk-Kay
CK
D000007:Abdominal Injuries / Q000150:complications; D000783:Aneurysm / Q000628:therapy; D002648:Child; D004621:Embolization, Therapeutic; D005260:Female; D006431:Hemobilia / Q000628:therapy*; D006499:Hepatic Artery / Q000000981:diagnostic imaging; D006801:Humans; D011859:Radiography; D014949:Wounds, Nonpenetrating / Q000150:complications