US-guided left-sided biliary drainage: nine-year experience.

Hayashi, Nobushige; Sakai, T; Kitagawa, Masaru; Kimoto, Tsunenobu; Inagaki, R.; Ishii, Yoshimitsu

doi:10.1148/radiology.204.1.9205232

Cited by 28 publications

(20 citation statements)

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“…For these patients, in whom multiple punctures are necessary on the basis of MR cholangiographic findings, the length of the procedure and associated risks of such an aggressive approach can be anticipated. MR cholangiography could also be useful for planning technical aspects of drainage, such as proper placement of the patient on the table when puncture of the left ductal branches is anticipated; this reduces radiation exposure to the operator's hands (30).…”

Section: Discussionmentioning

confidence: 99%

Malignant Hilar and Perihilar Biliary Obstruction: Use of MR Cholangiography to Define the Extent of Biliary Ductal Involvement and Plan Percutaneous Interventions

2001

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Section: Discussionmentioning

confidence: 99%

Malignant Hilar and Perihilar Biliary Obstruction: Use of MR Cholangiography to Define the Extent of Biliary Ductal Involvement and Plan Percutaneous Interventions

2001

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“…Clotted blood located in biliary ducts may be misdiagnosed as gallstones. Therefore, the golden standard in the diagnostics of hemobilia is angiography, even though it is not a first-line examination due to a higher rate of adverse effects as compared to US or CT [5,6]. …”

Section: Discussionmentioning

confidence: 99%

“…In comparison to adults, hemobilia in children is a very rare phenomen, and has been described as a complication of traumatic injuries of the abdomen [4–6]. The second most common cause of hemobilia is iatrogenic injury after diagnostic or surgical procedures performed on the liver or biliary ducts [7–9].…”

Section: Introductionmentioning

confidence: 99%

Iatrogenic Hemobilia in 10-Year-Old Boy

Kurcz

2014

Pol J Radiol

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BackgroundHemobilia in children is a rare phenomenon which has been described mostly in the context of traumas. The descriptions of massive hemobilia in children after liver biopsy are a rarity in the scientific literature because there are only a few examples of it. Hemobilia rarely develops spontaneously. Generally, this is a complication after a blunt abdominal trauma or after medical (especially surgical) procedures. Correct diagnosis and treatment of hemobilia are essential, especially in the case of patients with severe – sometimes life-threatening – haemorrhage from biliary ducts. It should be remembered that the symptoms of hemobilia do not necessarily occur immediately after surgery or trauma. In some cases hemobilia occurs after a changeable, asymptomatic period of time.Case ReportWe would like to present a case of a severe form of hemobilia caused by arterio-biliary fistula which developed incidentally after liver biopsy in a 10-year-old boy with chronic hepatitis B. Symptoms of hemobilia appeared on the seventh day after the diagnostic biopsy when the patient’s general condition began to deteriorate. The diagnosis of arterio-biliary fistula was established after angio-CT examination of the liver. A selective embolization of the right hepatic artery was carried out. Hemobilia in children is a rare phenomenon which has been described mostly in the context of traumas. The cases of massive hemobilia in children after liver biopsy are a rarity in the scientific literature because there are only a few examples of it. Hemobilia very rarely develops spontaneously. Generally, this is a complication after a blunt abdominal trauma or after medical (especially surgical) procedures.ResultsCorrect diagnosis and treatment of hemobilia are essential, especially in the case of patients with severe – sometimes life-threatening – haemorrhage from biliary ducts. It should be remembered that the symptoms of hemobilia do not necessarily occur immediately after surgery or trauma. In some cases hemobilia occurs after a changeable, asymptomatic period of time.

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“…Real-time imaging with US is useful for the guidance of PTCD (US-PTCD), especially in patients with non-dilated ducts and for left-sided PTCD [420,424,425]. Fluoroscopy delivers significant irradiation both to the patient and to the interventional team.…”

Section: Ultrasound Guidance Versus Fluoroscopic Guidancementioning

confidence: 99%

Untitled

2016

Ultraschall in Med

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US-guided left-sided biliary drainage: nine-year experience.

Abstract: US-guided left-sided biliary drainage is a highly successful and safe method when the left hepatic duct branch diameter is greater than 3 mm.

Cited by 28 publications

References 0 publications

Malignant Hilar and Perihilar Biliary Obstruction: Use of MR Cholangiography to Define the Extent of Biliary Ductal Involvement and Plan Percutaneous Interventions

Malignant Hilar and Perihilar Biliary Obstruction: Use of MR Cholangiography to Define the Extent of Biliary Ductal Involvement and Plan Percutaneous Interventions

Iatrogenic Hemobilia in 10-Year-Old Boy

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