Iatrogenic Hemobilia : Management with Transarterial Embolization Using Gelfoam Particles

CHARINDR EURVILAICHIT, B.Sc., M.D.*

Affiliation : * Department of Radiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand.

AbstractFour patients with life threatening bleeding hemobilia from the hepatic artery were suc- cessfully treated with transarterial embolization with small gelfoam particles with no recurrence of bleeding on follow-up study. The iatragenic hemobilia occurred inadvertently during surgery in two patients, with liver biopsy in one patient and percutaneous transhepatic biliary drainage pro- cedure in another patient. Transarterial embolization appears safe and may be regarded as a life- safing treatment for bleeding hemobilia.

Keywords : Hemobilia, Embolization, Gelfoam

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