Hemobilia complicating transhepatic catheter drainage in liver transplant recipients: management with selective embolization. 1990

A B Zajko, and V Chablani, and K M Bron, and C Jungreis
Department of Radiology, University of Pittsburgh School of Medicine, Pennsylvania.

Two liver transplantation patients are reported who experienced severe hemobilia following percutaneous placement of a transhepatic biliary drainage catheter. In both, hepatic angiography demonstrated the source of bleeding from a traumatic pseudoaneurysm of a right hepatic artery branch. Hemobilia in both patients was successfully treated using selective embolization techniques. Follow-up computed tomography of the liver showed no evidence of allograft necrosis or abscess formation. One patient developed an intrahepatic biliary stricture adjacent to the embolized branch artery nine months following the procedure. Hepatic artery embolization techniques are effective in the treatment of life-threatening hemobilia posttransplantation.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D011859 Radiography Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film). Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D002779 Cholestasis Impairment of bile flow due to obstruction in small bile ducts (INTRAHEPATIC CHOLESTASIS) or obstruction in large bile ducts (EXTRAHEPATIC CHOLESTASIS). Bile Duct Obstruction,Biliary Stasis,Bile Duct Obstructions,Biliary Stases,Cholestases,Duct Obstruction, Bile,Duct Obstructions, Bile,Obstruction, Bile Duct,Obstructions, Bile Duct,Stases, Biliary,Stasis, Biliary
D004322 Drainage The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.
D004621 Embolization, Therapeutic A method of hemostasis utilizing various agents such as Gelfoam, silastic, metal, glass, or plastic pellets, autologous clot, fat, and muscle as emboli. It has been used in the treatment of spinal cord and INTRACRANIAL ARTERIOVENOUS MALFORMATIONS, renal arteriovenous fistulas, gastrointestinal bleeding, epistaxis, hypersplenism, certain highly vascular tumors, traumatic rupture of blood vessels, and control of operative hemorrhage. Embolotherapy,Therapeutic Embolization,Embolizations, Therapeutic,Embolotherapies,Therapeutic Embolizations
D006431 Hemobilia Hemorrhage in or through the BILIARY TRACT due to trauma, inflammation, CHOLELITHIASIS, vascular disease, or neoplasms. Biliary Tract Hemorrhage,Hemorrhage, Biliary Tract,Biliary Tract Hemorrhages,Hemobilias
D006499 Hepatic Artery A branch of the celiac artery that distributes to the stomach, pancreas, duodenum, liver, gallbladder, and greater omentum. Arteries, Hepatic,Artery, Hepatic,Hepatic Arteries
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

Related Publications

A B Zajko, and V Chablani, and K M Bron, and C Jungreis
March 1996, Zeitschrift fur Gastroenterologie,
A B Zajko, and V Chablani, and K M Bron, and C Jungreis
March 1996, Liver transplantation and surgery : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society,
A B Zajko, and V Chablani, and K M Bron, and C Jungreis
December 1993, Transplantation,
A B Zajko, and V Chablani, and K M Bron, and C Jungreis
May 1984, Surgery,
A B Zajko, and V Chablani, and K M Bron, and C Jungreis
April 1977, AJR. American journal of roentgenology,
A B Zajko, and V Chablani, and K M Bron, and C Jungreis
February 1980, Archives of surgery (Chicago, Ill. : 1960),
A B Zajko, and V Chablani, and K M Bron, and C Jungreis
January 1999, Annales de chirurgie,
A B Zajko, and V Chablani, and K M Bron, and C Jungreis
February 2019, Radiology case reports,
A B Zajko, and V Chablani, and K M Bron, and C Jungreis
September 1995, Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology,
A B Zajko, and V Chablani, and K M Bron, and C Jungreis
October 1988, Rinsho hoshasen. Clinical radiography,
Copied contents to your clipboard!