Document Detail

Hemobilia. A disease in evolution.
MedLine Citation:
PMID:  3369935     Owner:  NLM     Status:  MEDLINE    
Ten patients with hemobilia were treated over a six-year period. Six cases resulted from iatrogenic injury (percutaneous invasive procedures, four; surgical trauma, two); the others were caused by gallstone disease (two), liver trauma (one), and vasculitis (one). Five patients were treated successfully by selective arterial embolization. In the other five patients, embolization was not possible due to previous surgical and/or radiologic procedures, or it was contraindicated, and thus, surgical treatment was undertaken. One of these patients died. There were no long-term sequelae in the remaining nine patients followed up for 12 to 66 months. Selective hepatic arterial embolization is the treatment of choice for hemobilia. Inappropriate embolization or surgery frequently fails to control the bleeding and may also prevent later successful embolization.
A Czerniak; J N Thompson; A P Hemingway; O Soreide; I S Benjamin; D J Allison; L H Blumgart
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  123     ISSN:  0004-0010     ISO Abbreviation:  Arch Surg     Publication Date:  1988 Jun 
Date Detail:
Created Date:  1988-06-20     Completed Date:  1988-06-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  718-21     Citation Subset:  AIM; IM    
Department of Surgery, Royal Postgraduate Medical School, Hammersmith Hospital, London.
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MeSH Terms
Cholangiography / adverse effects
Drainage / adverse effects
Embolization, Therapeutic
Follow-Up Studies
Hemobilia / etiology,  surgery,  therapy*
Middle Aged
Postoperative Complications / etiology

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