Iatrogenic hemobilia in 10-year-old boy

doi:10.12659/PJR.890410

Iatrogenic hemobilia in 10-year-old boy

Bibliographic description

title:	Iatrogenic hemobilia in 10-year-old boy
author:	Łasecki Mateusz, Zaleska-Dorobisz Urszula, Olchowy Cyprian, Ugorski Wojciech, Garcarek Jerzy, Patkowski Dariusz, Kurcz Jacek
Journal title:	Polish Journal of Radiology
volume:	79
date of publication:	2014
pages:	279-282
ISSN:	1733-134X
eISSN:	1899-0967
DOI:	10.12659/PJR.890410
notes:	Bibliogr. s. 282
language:	English
Journal language:	English
abstract in english:	Background: Hemobilia 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 Report: We 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. Conclusions: 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.
keywords in english:	arterio-biliary fistula, GI haemorrhage, hemobilia
type:	journal article
subtype:	academic paper

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