Endovascular Management of Massive Hemobilia as a Late Complication of Percutaneous Biliary Drainage in a Pediatric Liver Transplant Recipient: A Case Report

Abstract Development of biliary strictures after liver transplantation is not uncommon, and minimally invasive procedures are the first-line treatment of choice in most centers. Hemobilia is an infrequent, usually self-limited complication related to the initial biliary access procedure. Massive hem...

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Bibliographic Details
Published in:Transplantation proceedings 2014-07, Vol.46 (6), p.1889-1891
Main Authors: Szejnfeld, D, Fornazari, V.A.V, Imada, A.C, Linhares, M.M, Azevedo, R.A, Salzedas-Netto, A.A, Gonzalez, A.M, Goldman, S.M
Format: Article
Language:English
Subjects:
Biliary Tract Surgical Procedures - adverse effects
Child
Cholestasis - therapy
Drainage - methods
Embolization, Therapeutic - methods
Endovascular Procedures
Female
Hemobilia - therapy
Humans
Liver Transplantation - adverse effects
Surgery
Transplant Recipients
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Summary:Abstract Development of biliary strictures after liver transplantation is not uncommon, and minimally invasive procedures are the first-line treatment of choice in most centers. Hemobilia is an infrequent, usually self-limited complication related to the initial biliary access procedure. Massive hemobilia with severe hemodynamic instability is a rare event, particularly as a delayed complication. The difficulty of obtaining surgical access makes management of this condition highly challenging. Endovascular embolization may represent an important treatment option in this setting.
ISSN:0041-1345
1873-2623
DOI:10.1016/j.transproceed.2014.05.022