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Management of hemobilia with transarterial angiographic embolization: report of one case.

Abstract
A nine-year-old girl who developed life threatening hemobilia after blunt abdominal trauma was successfully managed by embolization of the hepatic artery aneurysm. However, biliary fistula persisted and subcapsular liver abscess occurred after the endoscopic sphincterotomy and the placement of a nasobiliary drain for bile leakage. Debridement of the abscess and insertion of a drain tube eventually cured the event. The relevant literature is reviewed and the management of the hemobilia is discussed.
AuthorsBeng-Huat Lau, Jing-Sheng Lee, Tseng-Chen Sung, Ming-Lun Yeh, Ta-Nien Lu, Cheuk-Kay Sun
JournalActa paediatrica Taiwanica = Taiwan er ke yi xue hui za zhi (Acta Paediatr Taiwan) 2002 Mar-Apr Vol. 43 Issue 2 Pg. 96-9 ISSN: 1608-8115 [Print] China (Republic : 1949- )
PMID12041625 (Publication Type: Case Reports, Journal Article, Review)
Topics
  • Abdominal Injuries (complications)
  • Aneurysm (therapy)
  • Child
  • Embolization, Therapeutic
  • Female
  • Hemobilia (therapy)
  • Hepatic Artery (diagnostic imaging)
  • Humans
  • Radiography
  • Wounds, Nonpenetrating (complications)

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