Traumatic Intrahepatic Hemobilia

Angiography in Hepatic Rupture

“…Abnormalities in the hepatic vasculature are, however, as a rule demonstrated and should direct attention to the liver as the source of the gastrointestinal bleeding. From a review by STEICHEN & SHEINER (1966) it appears that hemobilia is a rare complication of hepatic injury, although it occurred three times in the present series. Arterial abnormalities were observed but the fistula itself could not be demonstrated.…”

Central rupture of the liver with massive liver-cell necrosis. A case report and review of the literature

“…Although many large series of liver injuries have been published (Sparkmann and Fogelman, 1954 (Richardson, Gumbert, and Gale, 1967), extensive necrosis of the right lobe of the liver (Foster and Chandler, 1967), acute renal failure following a central haematoma compressing the inferior vena cava (Vasko and Scott, 1966), and a case which was diagnosed a year after injury (Shapiro, McBride and Luna, 1967).…”

“…I n a review of 52 published reports of haemobilia by Steichen and Sheiner (1966), they note that 13 of the patients had a central liver rupture. Since haemobilia was not present in our patient it seems reasonable to assume that the jaundice resulted from resorption of bile from the haematoma cavity and/or from the massive liver-cell necrosis.…”