title: Endovascular management of massive hemobilia as a late complication of percutaneous biliary drainage in a pediatric liver transplant recipient: a case report.
abstract: Development of biliary strictures after liver transplantation is not uncommon, and minimally invasive procedures are the first-line treatment of choice in most centers. Hemobilia is an infrequent, usually self-limited complication related to the initial biliary access procedure. Massive hemobilia with severe hemodynamic instability is a rare event, particularly as a delayed complication. The difficulty of obtaining surgical access makes management of this condition highly challenging. Endovascular embolization may represent an important treatment option in this setting.
authors.affiliation: Diagnostic Imaging Department, Federal University of São Paulo, São Paulo, Brazil. Electronic address: denis.cura@gmail.com.
authors.forename: D
authors.initials: D
authors.lastname: Szejnfeld
authors.affiliation: Diagnostic Imaging Department, Federal University of São Paulo, São Paulo, Brazil.
authors.forename: V A V
authors.initials: VA
authors.lastname: Fornazari
authors.affiliation: Surgery Department, Federal University of São Paulo, São Paulo, Brazil.
authors.forename: A C
authors.initials: AC
authors.lastname: Imada
authors.affiliation: Surgery Department, Federal University of São Paulo, São Paulo, Brazil.
authors.forename: M M
authors.initials: MM
authors.lastname: Linhares
authors.affiliation: Surgery Department, Federal University of São Paulo, São Paulo, Brazil.
authors.forename: R A
authors.initials: RA
authors.lastname: Azevedo
authors.affiliation: Surgery Department, Federal University of São Paulo, São Paulo, Brazil.
authors.forename: A A
authors.initials: AA
authors.lastname: Salzedas-Netto
authors.affiliation: Surgery Department, Federal University of São Paulo, São Paulo, Brazil.
authors.forename: A M
authors.initials: AM
authors.lastname: Gonzalez
authors.affiliation: Diagnostic Imaging Department, Federal University of São Paulo, São Paulo, Brazil.
authors.forename: S M
authors.initials: SM
authors.lastname: Goldman
mesh_terms: D001662:Biliary Tract Surgical Procedures / Q000009:adverse effects; D002648:Child; D002779:Cholestasis / Q000628:therapy; D004322:Drainage / Q000379:methods; D004621:Embolization, Therapeutic / Q000379:methods*; D057510:Endovascular Procedures; D005260:Female; D006431:Hemobilia / Q000628:therapy*; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects; D066027:Transplant Recipients