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TRAUMATIC HAEMOBILIA TREATED BY HEPATIC ARTERY LIGATION
Author(s) -
Shi E. C. P.,
Ham J. M.
Publication year - 1978
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1978.tb00042.x
Subject(s) - medicine , ligation , artery , cholangiography , radiology , angiography , bile duct , intrahepatic bile ducts , surgery
A 22‐year‐old woman developed haemobilia following suture of an apparently superficial liver injury. The diagnosis was made on the basis of the clinical features, duodenoscopy, and liver function tests. Selective hepatic angiography and liver scintiscan demonstrated a cavity in the right lobe of the liver, with the bleeding arising from a branch of the right hepatic artery. She was treated by cholecystectomy, exploration of the common bile duct with removal of clots, and ligation of the right hepatic artery. Subsequent T tube cholangiography and liver scintiscans demonstrated complete resolution of the cavity, and there was no further bleeding. Experience with this patient suggests that contrary to previous recommendations, haemobilia associated with an intrahepatic cavity may be successfully treated by hepatic artery ligation.