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Post-Blunt Traumatic Hemobilia From Pseudoaneurysm Successfully Treated With Embolization
Pham Hong Duc1, Pham Xuan Dung2, Huynh Quang Huy3
1Radiology, Ha Noi Medical University, Ha Noi, VNM.
Cureus
|May 9, 2020
Summary
Hemobilia, a rare complication of liver injury, presents diagnostic challenges due to variable gastrointestinal bleeding. This case highlights successful N-butyl 2-cyanoacrylate embolization for a post-traumatic pseudoaneurysm.
Area of Science:
- Hepatobiliary Surgery
- Interventional Radiology
- Trauma Surgery
Background:
- Hemobilia is an infrequent yet severe complication following traumatic liver injury.
- Diagnosing hemobilia can be challenging due to varied presentations of gastrointestinal bleeding, ranging from subtle to massive, with delayed onset.
- Radiological imaging plays a crucial role in diagnosis.
Observation:
- A 13-year-old boy presented with hemobilia two weeks after blunt liver trauma.
- The patient experienced gastrointestinal bleeding, a common symptom of hemobilia.
Findings:
- Radiologic evaluations including CT and angiography were utilized for diagnosis.
- A pseudoaneurysm was identified as the source of bleeding.
- Successful treatment was achieved through N-butyl 2-cyanoacrylate (NBCA) embolization of the pseudoaneurysm.
Implications:
- Early diagnosis and prompt intervention are crucial for managing hemobilia.
- NBCA embolization is an effective therapeutic option for pseudoaneurysm-induced hemobilia in pediatric patients.
- This case highlights the successful management of a rare complication of liver trauma.
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