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Hemobilia and pancreatitis as complication of a percutaneous transhepatic cholangiogram

H C Redman, R R Joseph

    The American Journal of Digestive Diseases
    |July 1, 1975
    PubMed

    Insights

    Percutaneous transhepatic cholangiography (PTC) can lead to rare complications like hemobilia and pancreatitis. This case highlights unusual liver vessel abnormalities following PTC, causing bile duct obstruction and requiring surgical intervention.

    Area of Science:

    • Gastroenterology and Hepatology
    • Interventional Radiology

    Background:

    • Hepatitis B antigen-negative hepatitis can present atypically.
    • Percutaneous transhepatic cholangiography (PTC) is an invasive diagnostic procedure.

    Purpose of the Study:

    • To report a rare case of hemobilia and pancreatitis following PTC.
    • To discuss unusual angiographic abnormalities and their implications.

    Main Methods:

    • Percutaneous transhepatic cholangiography (PTC) was performed.
    • Celiac angiography was conducted the day after PTC.
    • Clinical presentation and surgical findings were documented.

    Main Results:

    • PTC procedure was technically uneventful, with no bile duct entered.
    • Post-PTC celiac angiography revealed abnormal liver vessels.
    • Patient developed hemobilia, pancreatitis, and common bile duct obstruction.
    • Symptomatology resolved after celiotomy and clot removal 32 days post-PTC.

    Conclusions:

    • PTC can be associated with uncommon complications, including hemobilia and pancreatitis.
    • Unusual angiographic findings may precede or accompany these complications.
    • Careful consideration of indications for PTC is warranted, especially in differentiating jaundice and localizing obstruction.

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