Skip to main content
Log in

Arterial embolization for traumatic hemobilia with hepato-portal fistula

  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

A case of blunt liver trauma complicated by delayed upper gastrointestinal bleeding, probably hemobilia, was successfully treated by intra-arterial embolization. Laparotomy with liver resection or hepatic artery ligation—procedures that carry a high morbidity and mortality in a critically ill patient—were avoided. Embolization techniques can be a valuable alterantive to surgery in the mangement of hepatic trauma with delayed hemorrhage in selected, high-risk cases

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Griswald RA, Collier HS (1961) Blunt abdominal trauma. Int Abstr Surg 112:309–329

    Google Scholar 

  2. Walt AJ, (1978) The mythology of hepatic trauma or Babel revisited. Am J Surg 135:12–18, 1978

    Article  PubMed  CAS  Google Scholar 

  3. Sandblom P (1972) Hemobilia. Charles C. Thomas, Springfield, Ill

    Google Scholar 

  4. McGehee RN, Townsend CG, Thompson JC, Fish JC (1974) Traumatic hemobilia. Ann Surg 179:311–315

    Article  PubMed  CAS  Google Scholar 

  5. Mays FT (1977) Vascular occlusion. Surg Clin North Am 57:291–323

    PubMed  CAS  Google Scholar 

  6. Koehler RE, Korobkin M, Lewis F (1977) Arteriographic demonstration of collateral arterial supply to the liver after hepatic arterial ligation. Radiology 117:49–54

    Google Scholar 

  7. Jander HP, Laws HL, Kogutt MS, Mihas AA (1977) Emergency embolization in blunt hepatic trauma. AJR 129:249–252

    PubMed  CAS  Google Scholar 

  8. Lambeth W, Rubin BE (1979) Nonoperative mangement of intrahepatic hemorrhage and hematoma following blunt trauma. Surg Gynecol Obstet 148:507–511

    PubMed  CAS  Google Scholar 

  9. Rubin BE, Katzen BT (1977) Selective hepatic artery embolization to control massive hepatic hemorrhage after trauma. AJR 129:253–256

    PubMed  CAS  Google Scholar 

  10. Bass EM, Crosier JH (1977) Percutaneous control of posttraumatic hepatic hemorrhage by Gelfoam embolization. J Trauma 17:61–63

    Article  PubMed  CAS  Google Scholar 

  11. Heimbach DM, Ferguson GS, Hartley JD (1978) Treatment of traumatic hemobilia with angiographic embolization. J Trauma 18:221–224

    PubMed  CAS  Google Scholar 

  12. Doppman JD, Girton M, Kahn ER (1978) Proximal versus peripheral hepatic artery embolization: Experimental study in monkeys. Radiology 128:577–588

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Shenoy, S.S., Bergsland, J. & Cerra, F.B. Arterial embolization for traumatic hemobilia with hepato-portal fistula. Cardiovasc Intervent Radiol 4, 206–208 (1981). https://doi.org/10.1007/BF02552425

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02552425

Key words

Navigation