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Hemobilia in childhood.

G Läckgren¹, L E Lörelius, L Olsen

¹Department of Pediatric Surgery, University Hospital, Uppsala, Sweden.

Journal of Pediatric Surgery

|February 1, 1988

Summary

Selective arterial embolization effectively treats hemobilia in children following blunt abdominal trauma. This minimally invasive procedure offers a safe and successful alternative for managing gastrointestinal bleeding and jaundice.

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Area of Science:

Pediatric Surgery
Interventional Radiology
Trauma Management

Background:

Hemobilia, or bleeding into the biliary system, is a rare complication of blunt abdominal trauma.
Classical symptoms include gastrointestinal bleeding, abdominal pain, and jaundice, posing significant clinical challenges in pediatric patients.

Observation:

Three pediatric cases of hemobilia secondary to blunt abdominal trauma were observed over a decade.
One 5-year-old boy experienced recurrent severe gastrointestinal bleeding, pain, and jaundice for two months.

Findings:

Selective arterial embolization of the left hepatic artery was performed on the symptomatic pediatric patient.
The procedure provided immediate symptom relief, and the patient remained healthy for over two years.

Implications:

Selective arterial embolization is a safe and effective treatment for hemobilia in children, with minimal risk of liver dysfunction.
Hepatic artery embolization should be considered the primary treatment for pediatric hemobilia, even in young children.

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