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ERNEST POULOS, MD; L. H. WILKINSON, MD; A. G. SIMMS, II, MD; VAUN T. FLOYD, MD

AMA Arch Surg. 1964;88(4):596-601.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Gastrointestinal bleeding caused by bleeding into the bile ducts from an injured liver was termed traumatic hemobilia by Sandblom in 1948.⁶ The clinical manifestations of this syndrome are characterized by (1) previous liver or abdominal injury, (2) severe pain in the upper abdomen, anterior chest, or right shoulder, and (3) gastrointestinal bleeding of either minor or major proportions. The treatment of this problem has consisted of a wide spectrum of methods including observation, drainage, packing with various materials, cholecystostomy, T-tube drainage, hepatic artery ligation, and direct ligation of the bleeding vessels in the liver abscess cavity. Most of these methods with the exception of the latter two are indirect and have been associated with either death of the patient or recovery that could be associated with therapy only with difficulty. With the knowledge of the ineffectiveness of most of these methods of therapy it seems logical that the most . . . [Full Text PDF of this Article]

Author Affiliations
DALLAS; ALBUQUERQUE, NM

From the Department of Surgery of St. Paul's Hospital, Dallas, and St. Joseph's Hospital, Albuquerque.

Footnotes
Read before the 71st Annual Session of the Western Surgical Association, Galveston, Tex, Nov 21-23, 1963.

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