This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (53)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Morito Monden, MD; Jun Okamura, MD; Nobuyuki Kobayashi, MD; Nobuhiro Shibata, MD; Shinichi Horikawa, MD; Takayoshi Fujimoto, MD; Goro Kosaki, MD; Chikazumi Kuroda, MD; Hideo Uchida, MD

Arch Surg. 1980;115(2):161-164.

Abstract
• Hemobilia after the inception of percutaneous transhepatic biliary drainage (PTBD) has been reported as an uncommon, but sometimes fatal, complication. We examined the incidence, pathogenesis, and management of hemobilia in 94 patients who received PTBD. There were seven cases (7.4%) with transient and six (6.4%) with severe hemobilia; one patient (1.1%) of the latter group died. There was no correlation between hemobilia and hemostatic or hepatic insufficiency. Angiography during PTBD was performed in 47 patients, and abnormalities restricted to arterial changes were noted in nine (19.1%). All but one patient with hemobilia showed angiographic abnormalities. Our findings indicate that hemobilia occurs more often than has been suspected and that it is usually due to intrahepatic vessel injury rather than to hemorrhagic diathesis or hepatic insufficiency. The primary management of hemobilia consists of maintaining continuous patency of the drainage catheter.

(Arch Surg 115:161-164, 1980)

Author Affiliations
From the Second Department of Surgery (Drs Monden, Okamura, Kobayashi, Shibata, Horikawa, Fujimoto, and Kosaki) and the Department of Radiology (Drs Kuroda and Uchida), Osaka University Medical School, Osaka, Japan.

Footnotes
Accepted for publication Aug 27, 1979.

Reprint requests to Second Department of Surgery, Osaka University Medical School, 1-1-50, Fukushima, Fukushima-ku, Osaka 553, Japan (Dr Monden).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Hepatic Arterial Injuries after Percutaneous Biliary Interventions in the Era of Laparoscopic Surgery and Liver Transplantation: Experience with 930 Patients
Fidelman et al.
Radiology 2008;247:880-886.
ABSTRACT | FULL TEXT  

Hemobilia: A Disease in Evolution
Czerniak et al.
Arch Surg 1988;123:718-721.
ABSTRACT  

Percutaneous Transhepatic Drainage: Risks and Benefits
Stambuk et al.
Arch Surg 1983;118:1388-1394.
ABSTRACT