Hemobilia as a late complication after blunt abdominal trauma: a case report and review of the literature.

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Publication year
2010Source
Journal of Emergency Medicine, 39, 5, (2010), pp. 592-5ISSN
Annotation
01 november 2010
Publication type
Article / Letter to editor

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Organization
Surgery
Radiology
Journal title
Journal of Emergency Medicine
Volume
vol. 39
Issue
iss. 5
Page start
p. 592
Page end
p. 5
Subject
NCEBP 2: Evaluation of complex medical interventionsAbstract
BACKGROUND: Bleeding within the biliary tree, called hemobilia, is a rare complication after blunt hepatic trauma. OBJECTIVES: To report on a patient who developed hemobilia 1 month after a blunt abdominal injury and to discuss the diagnosis and treatment of hemobilia. CASE REPORT: A 17-year-old boy presented with upper gastrointestinal bleeding caused by hemobilia 1 month after a blunt liver injury. Angiography revealed a pseudoaneurysm of the right hepatic artery, which was successfully treated with embolization. CONCLUSIONS: The diagnosis of hemobilia first requires consideration of the diagnosis, particularly in patients with previous abdominal trauma. Hemobilia should be included in the differential diagnosis of upper gastrointestinal bleeding. Investigations of choice include computed tomography scan followed by angiography. During angiography, treatment can be done by endovascular embolization.
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- Academic publications [227900]
- Electronic publications [107393]
- Faculty of Medical Sciences [86236]
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