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. 1980 Jun;21(6):541–544. doi: 10.1136/gut.21.6.541

Treatment of haemobilia by selective arterial embolisation.

E A Fagan, D J Allison, V S Chadwick, H J Hodgson
PMCID: PMC1419666  PMID: 7429317

Abstract

We report a patient in whom haemobilia occurred after percutaneous liver biopsy. Selective hepatic arteriography showed a fistula between hepatic artery and portal venous system, with appearance of contrast in the biliary tract. Intrahepatic bleeding was stopped by arterial embolisation with a mixture of gelatine foam and sterile dura mater. Cholecytectomy was subsequently required as a haemocholecyst developed. The technique of arteriography and embolisation allows accurate localisation of intrahepatic bleeding sites and may avoid the need for a direct surgical approach to this problem.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Allison D. J. Therapeutic embolization. Br J Hosp Med. 1978 Dec;20(6):707–715. [PubMed] [Google Scholar]
  2. Attiyeh F. F., McSweeney J., Fortner J. G. Hemobilia complicating needle liver biopsy. A case report with arteriographic demonstration. Radiology. 1976 Mar;118(3):559–560. doi: 10.1148/118.3.559. [DOI] [PubMed] [Google Scholar]
  3. Ball T. J., Mutchnik M. G., Cohen G. M., Burrell M. Hemobilia following percutaneous liver biopsy. Gastroenterology. 1975 May;68(5 Pt 1):1297–1299. [PubMed] [Google Scholar]
  4. Bass E. M., Crosier J. H. Percutaneous control of post-traumatic hepatic hemorrhage by gelfoam embolization. J Trauma. 1977 Jan;17(1):61–63. doi: 10.1097/00005373-197701000-00009. [DOI] [PubMed] [Google Scholar]
  5. Cox E. F. Hemobilia following percutaneous needle biopsy of the liver. Arch Surg. 1967 Aug;95(2):198–201. doi: 10.1001/archsurg.1967.01330140036009. [DOI] [PubMed] [Google Scholar]
  6. Heimbach D. M., Ferguson G. S., Harley J. D. Treatment and traumatic hemobilia with angiographic embolization. J Trauma. 1978 Mar;18(3):221–224. doi: 10.1097/00005373-197803000-00013. [DOI] [PubMed] [Google Scholar]
  7. Lee S. P., Tasman-Jones C., Wattie W. J. Traumatic hemobilia: a complication of percutaneous liver biopsy. Gastroenterology. 1977 May;72(5 Pt 1):941–944. [PubMed] [Google Scholar]
  8. Levinson J. D., Olsen G., Terman J. W., Cleaveland C. R., Graham C. P., Jr, Breen K. J. Hemobilia secondary to percutaneous liver biopsy. Arch Intern Med. 1972 Sep;130(3):396–400. [PubMed] [Google Scholar]
  9. Merino-deVillasante J., Alvarez-Rodriguez R. E., Hernandez-Ortiz J. Management of postbiopsy hemobilia with selective arterial embolization. AJR Am J Roentgenol. 1977 Apr;128(4):668–671. doi: 10.2214/ajr.128.4.668. [DOI] [PubMed] [Google Scholar]
  10. Raines D. R., Van Heertum R. L., Johnson L. F. Intrahepatic hematoma: a complication of percutaneous liver biopsy. Gastroenterology. 1974 Aug;67(2):284–289. [PubMed] [Google Scholar]
  11. Seltzer R. A., Rossiter S. B., Cooperman L. R., Liebowitz D. Hemobilia following needle biopsy of the liver. AJR Am J Roentgenol. 1976 Dec;127(6):1035–1036. doi: 10.2214/ajr.127.6.1035. [DOI] [PubMed] [Google Scholar]
  12. Walter J. F., Paaso B. T., Cannon W. B. Successful transcatheter embolic control of massive hematobilia secondary to liver biopsy. AJR Am J Roentgenol. 1976 Nov;127(5):847–849. doi: 10.2214/ajr.127.5.847. [DOI] [PubMed] [Google Scholar]
  13. Whelan T. J., Gillespie J. T. Treatment of Traumatic Hemobilia. Ann Surg. 1965 Nov;162(5):920–932. doi: 10.1097/00000658-196511000-00018. [DOI] [PMC free article] [PubMed] [Google Scholar]

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