title: Bilhemia: a fatal complication following percutaneous placement of a transhepatic inferior vena cava catheter in a child.
abstract: A transhepatic central venous catheter was implanted in a 2-year-old child with a history of multiple venous access procedures and superior and inferior vena cava thrombosis. After 2 weeks, inadvertent dislodgement of the catheter was complicated by a biloma. The biloma was percutaneously drained, but a biliary-venous fistula led to a rapidly progressive and fatal bilhemia. We report this case as an infrequent complication of transhepatic catheterization.
authors.affiliation: Department of Interventional Radiology, Hospital de Pediatria Prof JP Garrahan, Pichincha 1850, Buenos Aires, Argentina. sergio.sierre@usa.net
authors.forename: Sergio
authors.initials: S
authors.lastname: Sierre
authors.forename: Jose
authors.initials: J
authors.lastname: Lipsich
authors.forename: Horacio
authors.initials: H
authors.lastname: Questa
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001646:Bile; D001652:Bile Ducts / Q000000981:diagnostic imaging; D001658:Biliary Fistula / Q000097:blood* / Q000150:complications; D001663:Bilirubin / Q000097:blood; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002408:Catheters, Indwelling / Q000009:adverse effects; D002675:Child, Preschool; D004322:Drainage; D004827:Epilepsy / Q000150:complications; D004868:Equipment Failure; D017809:Fatal Outcome; D005260:Female; D005334:Fever / Q000209:etiology; D006503:Hepatic Veins; D006801:Humans; D006932:Hyperbilirubinemia / Q000209:etiology; D007565:Jaundice / Q000209:etiology; D007964:Leukocytosis / Q000209:etiology; D008099:Liver / Q000000981:diagnostic imaging; D010690:Phlebography; D014463:Ultrasonography; D016157:Vascular Fistula / Q000097:blood* / Q000150:complications; D014682:Vena Cava, Inferior; D020246:Venous Thrombosis / Q000150:complications
chemical_list: D000900:Anti-Bacterial Agents; D001663:Bilirubin