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Traumatic haemobilia: case reports

J V Bryer, D Nirmul, G P Hadley

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |September 3, 1977
    PubMed
    Summary
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    Traumatic liver injury can cause traumatic haemobilia, a condition that may be difficult to diagnose after a significant delay. Selective hepatic arteriography and hepatic artery ligation are presented as diagnostic and treatment options.

    Area of Science:

    • Hepatobiliary Surgery
    • Vascular Surgery
    • Diagnostic Imaging

    Background:

    • Traumatic liver injury is a significant cause of morbidity and mortality.
    • Haemobilia, or bleeding into the biliary tree, can complicate liver trauma.
    • Delayed presentation of haemobilia poses diagnostic challenges.

    Observation:

    • This report details three cases of traumatic haemobilia resulting from varied liver injuries.
    • Clinical presentations differed significantly due to the nature and extent of the trauma.
    • A notable delay between injury and clinical presentation was observed in some cases.

    Findings:

    • Selective hepatic arteriography proved valuable in diagnosing the source of bleeding.
    • Hepatic artery ligation was employed as a therapeutic intervention.

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  • The study highlights the diagnostic difficulties associated with delayed haemobilia presentation.

    • Implications:

    • Early consideration of haemobilia is crucial in patients with liver trauma, even with delayed symptoms.
    • Hepatic arteriography should be considered for diagnosing traumatic haemobilia.
    • Hepatic artery ligation offers a viable treatment option for managing haemobilia.