Non‐operative management of haemobilia

@article{Moodley2001NonoperativeMO,
  title={Non‐operative management of haemobilia},
  author={Jaynathan Moodley and B. Singh and Shivendra Lalloo and Sathish Kumar Pershad and John Vivian Robbs},
  journal={British Journal of Surgery},
  year={2001},
  volume={88}
}
The aim was to evaluate a non‐operative approach to the management of haemobilia. 
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49 Citations
Highly Influential Citations
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Background Citations
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49 Citations

Haemobilia following blunt liver injury.
TLDR
A case of an American Association for the Surgery of Trauma grade III liver injury and its complications, successfully managed by a combination of minimally invasive interventions is reported.
Haemobilia: a rare cause of gastrointestinal bleeding.
TLDR
A case of a 60 years old man presenting with haematemesis found to have pseudoaneurysm of accessory hepatic artery 4 months after laparoscopic cholecystectomy is reported.
Current Management of Hemobilia
TLDR
Hemobilia is an uncommon source of significant gastrointestinal bleeding resulting from a communication between the vascular and biliary systems, and interventional angiography and transcatheter percutaneous endovascular techniques are the standard for diagnosis and treatment.
A History of Coagulopathy in Liver Disease: Legends and Myths
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Transarterial catheter embolisation for an unusual cause of upper gastrointestinal haemorrhage
TLDR
A 72-year-old man with a history of gallstones, and complex cardiac and endocrinological comorbidities, presented with severe abdominal pain and melaena, which confirmed a cystic artery pseudoaneurysm, which was successfully embolised with microcoils.
Successful selective angiographic embolisation of a gastroduodenal pseudoaneurysm following penetrating abdominal trauma.
TLDR
A pseudoaneurysm of the gastroduodenal artery following penetrating abdominal trauma was successfully managed by selective angiographic embolisation.
An unusual case of haemobilia.
TLDR
Pseudo-aneurysm of the hepatic artery is mostly iatrogenic due to biliary intervention, as demonstrated in this case, and difficulty in diagnosis and management is discussed.
Management of Significant Hemobilia: Hepatic Artery Embolization or Stenting?
TLDR
Both arterial embolization and biliary stenting are effective, relatively safe, and cost efficient approaches to treatment of hemobilia which can be used based on the etiology of hemorrhage.
Transcatheter arterial embolization for hemorrhage caused by injury of the hepatic artery
Background:  The aims of the study were to compare (i) the effects of transcatheter arterial embolization on initial hemostasis and the control of rebleeding in the treatment of hemorrhage due to…
A rare case of fulminant hemobilia resulting from gallstone erosion of the right hepatic artery.
TLDR
A case of a 72-year-old patient with massive hemobilia caused by gallstone erosion to the adjacent artery, diagnosed intraoperatively and successfully managed by cholecystectomy and repair of the bleeding vessel is reported.
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References

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TLDR
Angiography confirmed an aneurysm of the left hepatic artery, which was successfully embolised and the patient made an uneventful recovery.
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TLDR
The technique of arteriography and embolisation allows accurate localisation of intrahepatic bleeding sites and may avoid the need for a direct surgical approach to this problem.
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Complications of central liver injuries requiring reoperation 1 week to several years after the initial injury should be infrequent, often are preventable, are not subtle, and respond well to established modes of therapy.
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TLDR
In major liver injuries perihepatic packing may be life-saving, allowing control of bleeding before a logical sequential strategy is instituted to isolate and repair the injury.
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TLDR
Thirteen patients with hemobilia were treated with embolotherapy, using detachable balloons in 12 patients, thus preserving hepatic function following embolization, and the technique included the ability to flow-direct the balloon without selective catheterization.
Superselective arterial embolization in the liver transplant recipient: a safe treatment for hemobilia caused by percutaneous transhepatic biliary drainage.
TLDR
The experience shows that superselective transcatheter embolization is a safe, effective therapy to correct iatrogenic hemobilia in the liver transplant recipient without threatening the patency of the major hepatic arteries, the viability of the liver, or the integrity of the biliary tree.
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TLDR
US-guided left-sided biliary drainage with ultrasound (US) guidance is a highly successful and safe method when the left hepatic duct branch diameter is greater than 3 mm.
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