title: Spontaneous life-threatening hemobilia during acute liver failure successfully treated with transarterial embolization.
abstract: A 28-year-old patient admitted with jaundice, vomiting and deteriorating coagulopathy was diagnosed with acute liver failure. After listing for urgent transplantation, he developed Boerhaave's syndrome and massive hemobilia, two life-threatening complications. Massive hemobilia secondary to a fistula between the right hepatic artery and the right bile duct occurred several days after transjugular biopsy and was controlled with fluid resuscitation, transfusion and arterial embolization. Two days later he was transplanted successfully, and is currently doing well after more than 72 months. Aggressive treatment of potentially reversible complications during acute liver failure whilst awaiting transplantation is mandatory to allow survival of these patients.
authors.forename: V
authors.initials: V
authors.lastname: Boecxstaens
authors.forename: S
authors.initials: S
authors.lastname: Heye
authors.forename: G
authors.initials: G
authors.lastname: Maleux
authors.forename: Ph
authors.initials: P
authors.lastname: Roelandt
authors.forename: D
authors.initials: D
authors.lastname: Cassiman
authors.forename: W
authors.initials: W
authors.lastname: Laleman
authors.forename: Ch
authors.initials: Ch
authors.lastname: Verslype
authors.forename: W
authors.initials: W
authors.lastname: Van Steenbergen
authors.forename: F
authors.initials: F
authors.lastname: Nevens
authors.forename: Ph
authors.initials: P
authors.lastname: Meersseman
authors.forename: P
authors.initials: P
authors.lastname: Verhamme
authors.forename: R
authors.initials: R
authors.lastname: Aerts
authors.forename: J
authors.initials: J
authors.lastname: Pirenne
authors.forename: D
authors.initials: D
authors.lastname: Monbaliu
mesh_terms: D000328:Adult; D004621:Embolization, Therapeutic; D006431:Hemobilia / Q000628:therapy*; D006801:Humans; D017114:Liver Failure, Acute / Q000150:complications*; D008297:Male; D014057:Tomography, X-Ray Computed