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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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Published in: | Transplantation proceedings 2014-07, Vol.46 (6), p.1889-1891 |
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container_title | Transplantation proceedings |
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creator | 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 |
description | 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. |
doi_str_mv | 10.1016/j.transproceed.2014.05.022 |
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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.</description><identifier>ISSN: 0041-1345</identifier><identifier>EISSN: 1873-2623</identifier><identifier>DOI: 10.1016/j.transproceed.2014.05.022</identifier><identifier>PMID: 25131062</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>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</subject><ispartof>Transplantation proceedings, 2014-07, Vol.46 (6), p.1889-1891</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>Copyright © 2014 Elsevier Inc. 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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.</description><subject>Biliary Tract Surgical Procedures - adverse effects</subject><subject>Child</subject><subject>Cholestasis - therapy</subject><subject>Drainage - methods</subject><subject>Embolization, Therapeutic - methods</subject><subject>Endovascular Procedures</subject><subject>Female</subject><subject>Hemobilia - therapy</subject><subject>Humans</subject><subject>Liver Transplantation - adverse effects</subject><subject>Surgery</subject><subject>Transplant Recipients</subject><issn>0041-1345</issn><issn>1873-2623</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNqNUk1v1DAUtBCILgt_AVmcuCT4c5P0gFS2hSItooJythznGXlJ4sVOVuqP4b_ywrYS4sTJeva8Gc2MCXnFWckZ37zZl1OyYz6k6AC6UjCuSqZLJsQjsuJ1JQuxEfIxWTGmeMGl0mfkWc57hrNQ8ik5E5pLzjZiRX5djV082uzm3ib6yY72OwwwTjR6nHIOR6DXMMQ29MFSm6mlOzsB3cbh0AdnpxDHBXsDyc2THSHOmb5bwOmOXiYbFkIaRty7gS7YKQVHd8ia6O0fE71FsS_gwiGg7Dm9oFubAW8OMU3PyRNv-wwv7s81-fb-6nZ7Xew-f_i4vdgVTkk9Fcr5mrXSi6pFZ15XTnnHOlW33kLjlG7qtqu5Z1w09aYB2bBO113VSe0qC16uyesTL2b6c4Y8mSFkB31_MmS41gpZltjW5PwEdSnmnMCbQwoDujWcmaUeszd_12OWegzTBuvB5Zf3OnM74NvD6kMfCLg8AQDdHgMkkx3m4jC6BG4yXQz_p_P2HxrXhxHr6n_AHeR9nNOIeRpusjDMfF0-yvJPuGJMVkzJ3zazvzA</recordid><startdate>20140701</startdate><enddate>20140701</enddate><creator>Szejnfeld, D</creator><creator>Fornazari, V.A.V</creator><creator>Imada, A.C</creator><creator>Linhares, M.M</creator><creator>Azevedo, R.A</creator><creator>Salzedas-Netto, A.A</creator><creator>Gonzalez, A.M</creator><creator>Goldman, S.M</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140701</creationdate><title>Endovascular Management of Massive Hemobilia as a Late Complication of Percutaneous Biliary Drainage in a Pediatric Liver Transplant Recipient: A Case Report</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c435t-4cf80b3f27b251f57c4fc0d48bfae9c4598bd81f0129869e390d58d7d35c7aef3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Biliary Tract Surgical Procedures - adverse effects</topic><topic>Child</topic><topic>Cholestasis - therapy</topic><topic>Drainage - methods</topic><topic>Embolization, Therapeutic - methods</topic><topic>Endovascular Procedures</topic><topic>Female</topic><topic>Hemobilia - therapy</topic><topic>Humans</topic><topic>Liver Transplantation - adverse effects</topic><topic>Surgery</topic><topic>Transplant Recipients</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Szejnfeld, D</creatorcontrib><creatorcontrib>Fornazari, V.A.V</creatorcontrib><creatorcontrib>Imada, A.C</creatorcontrib><creatorcontrib>Linhares, M.M</creatorcontrib><creatorcontrib>Azevedo, R.A</creatorcontrib><creatorcontrib>Salzedas-Netto, A.A</creatorcontrib><creatorcontrib>Gonzalez, A.M</creatorcontrib><creatorcontrib>Goldman, S.M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Transplantation proceedings</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Szejnfeld, D</au><au>Fornazari, V.A.V</au><au>Imada, A.C</au><au>Linhares, M.M</au><au>Azevedo, R.A</au><au>Salzedas-Netto, A.A</au><au>Gonzalez, A.M</au><au>Goldman, S.M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endovascular Management of Massive Hemobilia as a Late Complication of Percutaneous Biliary Drainage in a Pediatric Liver Transplant Recipient: A Case Report</atitle><jtitle>Transplantation proceedings</jtitle><addtitle>Transplant Proc</addtitle><date>2014-07-01</date><risdate>2014</risdate><volume>46</volume><issue>6</issue><spage>1889</spage><epage>1891</epage><pages>1889-1891</pages><issn>0041-1345</issn><eissn>1873-2623</eissn><abstract>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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25131062</pmid><doi>10.1016/j.transproceed.2014.05.022</doi><tpages>3</tpages></addata></record> |
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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 |
title | Endovascular Management of Massive Hemobilia as a Late Complication of Percutaneous Biliary Drainage in a Pediatric Liver Transplant Recipient: A Case Report |
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