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Emergency embolization in posttraumatic hemobilia in a child
Journal of Pediatric Surgery
|April 1, 1985
Insights
A ten-year-old boy experienced hemobilia after abdominal trauma. Doctors successfully treated this rare pediatric case by embolizing an intrahepatic false aneurysm during an angiogram.
Area of Science:
- Pediatric surgery
- Interventional radiology
- Trauma management
Background:
- Hemobilia, or bleeding into the biliary tract, is a rare complication of abdominal trauma.
- Posttraumatic intrahepatic aneurysms can lead to significant hemorrhage.
Observation:
- A ten-year-old male presented with hemobilia following abdominal trauma.
- Diagnostic angiography revealed an intrahepatic false aneurysm as the source of bleeding.
Findings:
- The intrahepatic false aneurysm was successfully treated with endovascular embolization.
- This represents the first reported pediatric case of successful embolization for posttraumatic hemobilia.
Implications:
- Endovascular embolization is a viable and effective treatment for pediatric posttraumatic hemobilia.
- Early diagnosis and intervention can prevent life-threatening hemorrhage in pediatric trauma patients.
Abstract:
The authors report a case of hemobilia in a ten-year-old boy after abdominal trauma. An intrahepatic false aneurysm was successfully embolized during the diagnostic angiogram. This is, to their knowledge, the first pediatric case successfully embolized with posttraumatic hemobilia.