Haemobilia after penetrating and blunt liver injury: treatment with selective hepatic artery embolisation

Forlee, Martin; Krige, J. E. J.; Welman, C.; Beningfield, Steve

doi:10.1016/s0020-1383(03)00156-6

Cited by 54 publications

(36 citation statements)

References 16 publications

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“…Schwartz et al achieved 88 % technical success of the embolization in group of 28 patients with traumatic affection of hepatic arteries [12]. Forlee et al successfully treated 10 patients with hemobilia due to penetrating or blunt abdominal trauma by selective embolization [13]. The embolization of pseudoaneurysm involves selective catheterization of thehepatic artery followed by placing it in the pseudoaneurysm neck and applying of some of embolization materials -metallic coils, Gelaspon particles, autologous coagula, detachable balloons, Histoacryl adhesive, PAV particles or autologous thrombin in order to produce local thrombosis and achieve effective hemostasis [4,6,10,12,14].…”

Section: Discussionmentioning

confidence: 99%

Embolization of Post-Traumatic Pseudoaneurysm of the Proper Hepatic Artery

Marek¹

2012

Surgery Curr Res

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38-year old, drunken man had fell from the window and was admited to the hospital with multiple limb fractures and suspicion of traumatic liver injury. Post-contrast CT examination proved the pseudoaneurysm arising caudally from the proper hepatic artery. The indicated angiography should specify location and character of the pseudoaneurysm and allow its subsequent embolization. After placing the catheter tip into its neck the pseudoaneurysm was successfully closed by metal coils and mixture of tissue glue (Histoacryl) and contrast medium (Lipiodol Ultrafluid).

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Section: Discussionmentioning

confidence: 99%

Embolization of Post-Traumatic Pseudoaneurysm of the Proper Hepatic Artery

Marek¹

2012

Surgery Curr Res

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“…However, cases of venous hemobilia have been reported in the presence of portal hypertension [11]. Hemobilia may arise from trauma, inflammation, malignancy, iatrogenic causes (ie, liver biopsy), or vascular anomalies, and even spontaneously in the setting of coagulopathy [12][13][14][15][16][17][18][19][20][21][22].…”

Section: Etiologymentioning

confidence: 99%

Hemobilia

Chin

Enns

2010

Curr Gastroenterol Rep

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Hemobilia is an uncommon medical problem that presents in a varied fashion and is increasingly of iatrogenic origin. The diagnosis of hemobilia needs to be considered in patients presenting with upper gastrointestinal bleeding, particularly if they are jaundiced with abdominal pain in the setting of recent or previous percutaneous liver intervention or abdominal trauma. Multislice computed tomographic angiography is increasingly being used in the investigation, but transcatheter arterial embolization remains the cornerstone of managing those patients requiring intervention. The majority of patients with hemobilia will be managed supportively or with radiologic intervention; most do not require surgical intervention.

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“…There is a variable time interval between the initial liver injury and the ultimate diagnosis of hemobilia (6,7). Hemobilia may occur immediately after a penetrating liver injury that causes a synchronous perforation of an intrahepatic bile duct and the vascular supply.…”

Section: Mobilia Is Iatrogenic and It Is Most Often Caused By Percutmentioning

confidence: 99%

“…Hemobilia may occur immediately after a penetrating liver injury that causes a synchronous perforation of an intrahepatic bile duct and the vascular supply. However, hemobilia also can have a late presentation: a time interval of up to 120 days after the initial trauma has been reported (6). Blunt liver injury can cause cavity formation within the liver parenchyma into which damaged bile ducts and blood vessels drain.…”

Section: Mobilia Is Iatrogenic and It Is Most Often Caused By Percutmentioning

confidence: 99%