Hemobilia Complicating Percutaneous Liver Biopsy -A Case Report Treated with Transcatheter Arterial Embolization-

Yoshihiro Sakai, Kazuo Hatsuse, Takashi Ichikura, Shouetsu Tamakuma, Toshihiko Irie¹⁾, Sigeru Furui¹⁾, Sadao Ogata²⁾

First Department of Surgery, Department of Radiology¹⁾, National Deffense Medical College, Onaga Hospital²⁾

Hemobilia secondary to a percutaneous liver biopsy developed in a 77-year-old man with chronic hepatitis type C. He had hematemesis. Endoscopic examination revealed coagula in the duodenum. Computed tomography (CT) showed high density areas suggesting coagula in the common bile duct and doudenum. Celiac angiography revealed an arterioportal (AP) shunt supplied by the posterioinferior branch of the right hepatic artery. Transcatheter arterial embolization (TAE) directed selectively into the involved hepatic artery was successfully performed. TAE may provide a simple, safe, and effective treatment for hemobilia.

Key words
hemobilia, liver biopsy, transcatheter arterial embolization

Reprint requests
Yoshihiro Sakai First Department of Surgery, National Deffense Medical College
3-2 Namiki, Tokorozawa-shi, 359 JAPAN

Accepted
November 1, 1993

To read the PDF file you will need Abobe Reader installed on your computer.