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Posttraumatic bilhemia: Conservative management by percutaneous drainage

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Abstract

Posttraumatic bilhemia complicating liver trauma has been managed surgically so far. A case report of a biliary-venous fistula resulting from blunt hepatic trauma managed successfully by percutaneous drainage is presented. A catheter was placed in the right hepatic lobe for reducing intrahepatic pressure. This procedure was followed by a dramatic decrease of bilirubin blood level. This management emphasizes the role of interventional radiology in the treatment of complicated blunt hepatic trauma.

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References

  1. Gromm E, Traumann KJ (1978). Bilhämie-Syndrome, eine seltene Komplikation nach Leberblindpunktion mit der Menghini-Nadel. DMW 34:1347.

    Google Scholar 

  2. Maxeiner H. (1984) Iatrogene biliovenöse Fistel. Z. Rechtsmed 91:235–246.

    Article  PubMed  CAS  Google Scholar 

  3. Plür S., Schwarz H (1974). Posthepatischer Ikterus nach glattem Leberdurchschuß. Helv Chir Acta 41:659–662.

    Google Scholar 

  4. Inberg MV, Ahonen J (1977) Blunt trauma to the liver and hepatic vein. A special reference to the intense postoperative conjugated hyperbilirubinemia: A case report. Acta Chir Scand, 102:428–430

    Google Scholar 

  5. Kleiber M, Bause HW (1976) Bilio-venöse Fistel als seltene Komplikation nach stumpfem Bauchtrauma. Unfallheilk 79:483–486

    CAS  Google Scholar 

  6. Sohendra N, Werner B (1977) Zur Diagnostik der traumatischen Hämobilie und Bilhämie. Dtsch Med Wochenschr 12:428–432.

    Article  Google Scholar 

  7. Wittrin G, Clemens M, Safrany L, Schönleben K (1978) Hämobilie und Bilhämie-Komplikationen beim Lebertrauma. ZBL Chirurgie 103:1463–1470.

    CAS  Google Scholar 

  8. Enneker C, Beren JP (1978). Schwerste Leberruptur mit Lebervenenabriss und massive Bilhämie. Chirurg 48:311–314

    Google Scholar 

  9. Struyven J, Cremer M, Pirson, P, Jeanty P, Jeanmart J (1982) Posttraumatic bilhemia: Diagnosis and catheter therapy. AJR 138:746–747

    PubMed  CAS  Google Scholar 

  10. Briani GF, Pederzoli P, Orcalli F, Bassi C, Abrescia F, Iacono C, Schönsberg, A, Albrigo R, Nicoli N (1983). Bilhemia: Diagnosi e trattamento conservativo a proposito di un caso complicato con ascesso epatico. Chirurgia italiana 35:965–971

    PubMed  CAS  Google Scholar 

  11. Blum M, Fiedler C, Winde G, Pircher W, von Bassewitz B (1987). Die Bilhämie-ein Überblick über Diagnostik und Therapie. Chirurg 58:482–486

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Diagnostic Radiology, University of Freiburg, Hugstetterstr. 55, D-7800, Freiburg, FRG

    U. Blum M.D., C. Buitrago-Tellez & B. Wimmer

  2. Abdominal Surgery, University of Freiburg, Federal Republic of Germany

    M. El Seif

Authors
  1. U. Blum M.D.
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  2. C. Buitrago-Tellez
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  3. M. El Seif
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  4. B. Wimmer
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Blum, U., Buitrago-Tellez, C., El Seif, M. et al. Posttraumatic bilhemia: Conservative management by percutaneous drainage. Cardiovasc Intervent Radiol 16, 55–57 (1993). https://doi.org/10.1007/BF02603040

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