Hemobilia Secondary to Percutaneous Liver Biopsy

Levinson, Joel D.; Olsen, G; Terman, James W.; Cleaveland, Clifton R.; Graham, Charles P.; Breen, Kerry J.

doi:10.1001/archinte.1972.03650030074018

Cited by 44 publications

(4 citation statements)

References 22 publications

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“…Iatrogenic hemobilia may occur during percutaneous liver procedures, liver or biliary surgery, or therapeutic anticoagulation. The frequency of clinical hemobilia is less than 1 % for liver biopsies [7, 8], 4 % for transhepatic cholangiography [9], and 3–14 % for percutaneous transhepatic catheter drainage [10, 11]. In our series, iatrogenic hemobilia occurred from liver biopsy (75 %) and percutaneous transhepatic biliary drainage (25 %).…”

Section: Discussionmentioning

confidence: 81%

Massive Hemobilia: A Diagnostic and Therapeutic Challenge

et al. 2014

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Section: Discussionmentioning

confidence: 81%

Massive Hemobilia: A Diagnostic and Therapeutic Challenge

et al. 2014

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“…In some instances, nonoperative treatment suffices [11]. Arterioportal shunts may close spontaneously, especially when the hemorrhage is not massive [6,14]. Dissolution of blood clots in the biliary tree by fibrinolysins present in bile and spontaneous expulsion of clots have also been reported [12,15].…”

Section: Discussionmentioning

confidence: 99%

“…4). [3][4][5][6][7][8][9][10]. Other causes have included ruptured hepatic artery aneurysm, gallbladder disease, tumor of the liver, and foreign bodies, such as a T-tube [11].…”

Section: Case Reportmentioning

confidence: 99%

Hepatobiliary scanning in hemobilia-induced acute cholecystitis

Lewis

Varma

Tice

et al. 1982

Gastrointest Radiol

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Radionuclide scanning of the hepatobiliary tree is highly accurate for the detection of patients with acute cholecystitis. Hemobilia, a rare complication of percutaneous liver biopsy, may result in blood clots within the biliary canaliculi. Such clots, like gallstones, may occlude the ducts and produce a clinical syndrome indistinguishable from acute cholecystitis. A patient with acute cholecystitis resulting from hemobilia following percutaneous biopsy of the liver is described. The diagnosis of acute cholecystitis secondary to blood clots was made with technetium 99mTc Iprofenin (Pipida [Sn]) scintigraphy. The patient was treated conservatively, and follow-up Pipida scan 6 weeks later demonstrated normal hepatobiliary function.

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“…Surgery was previously considered to be the treatment of choice, consisting of ligation of one of the main hepatic arterial branches [37] or partial hepatectomy [38]. This has now been largely replaced by angiography and therapeutic embolization which have obvious advantages [39][40][41].…”

Section: Haemobiliamentioning

confidence: 99%

Vascular embolization

Jackson

1991

Minimally Invasive Therapy

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Vascular embolization has been shown to be of great value in a variety of clinical situations, and in many of these it should be the procedure of first choice, either prior to, o r as a n alternative to, more conventional surgical o r medical therapy. Clinicians should b e a w a r e of the numerous indicationsfor this technique and the often excellent results that a r e obtained. This article describes the techniques used for vascular occlusion, defines many of its indications and reviews s o m e of the results and complications that have been reported with ernbolization procedures.

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Hemobilia Secondary to Percutaneous Liver Biopsy

Cited by 44 publications

References 22 publications

Massive Hemobilia: A Diagnostic and Therapeutic Challenge

Massive Hemobilia: A Diagnostic and Therapeutic Challenge

Hepatobiliary scanning in hemobilia-induced acute cholecystitis

Vascular embolization

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