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Eur J Pediatr Surg 2010; 20(3): 212-214
DOI: 10.1055/s-0030-1249697
DOI: 10.1055/s-0030-1249697
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© Georg Thieme Verlag KG Stuttgart · New York
Bilhemia, An Unusual Complication after Blunt Liver Trauma in a Child: Case Report and Review of the Literature
Further Information
Publication History
Publication Date:
12 April 2010 (online)
Introduction
Bilhemia, defined as the passage of bile into the bloodstream through a bile duct-venous system fistula, is rather rare[9]. Non-surgical treatment has become the therapeutic method of choice in hemodynamically stable patients with liver trauma. There are a few reports of the endoscopic management of traumatic hepatobiliary injuries in such pediatric patients; however, the optimal intervention is not known[10]. We report a 10-year-old patient with bilhemia as a serious complication following blunt liver trauma.
References
- 1 Blum U, Buitrago-Tellez C, el Seif M. et al . Posttraumatic bilhemia: conservative management by percutaneous drainage. Cardiovasc Intervent Radiol. 1993; 16 55-57
- 2 Enneker C, Berens JP. Most severe liver rupture with hepatic vein avulsion and massive hemobilia. Chirurg. 1978; 49 311-314
- 3 Francois D, Walrand S, Van Nieuwenhuyse JP. et al . Hepatobiliary scintigraphy in a patient with bilhemia. Eur J Nucl Med. 1994; 21 1020-1023
- 4 Glaser K, Wetscher G, Pointner R. et al . Traumatic bilhemia. Surgery. 1994; 116 24-27
- 5 Haberlik A, Cendron M, Sauer H. Biliovenous fistula in children after blunt liver trauma: proposal for a simple surgical treatment. J Pediatr Surg. 1992; 27 1203-1206
- 6 Kaffes AJ, Hourigan L, De Luca N. et al . Impact of endoscopic intervention in 100 patients with suspected postcholecystectomy bile leak. Gastrointest Endosc. 2005; 61 269-275
- 7 Marks JM, Ponsky JL, Shillingstad RB. et al . Biliary stenting is more effective than sphincterotomy in the resolution of biliary leaks. Surg Endosc. 1998; 12 327-330
- 8 Sandblom P, Jakobsson B, Lindgren H. et al . Fatal bilhemia. Surgery. 2000; 127 354-357
- 9 Sierre S, Lipsich J, Questa H. Bilhemia: a fatal complication following percutaneous placement of a transhepatic inferior vena cava catheter in a child. Pediatr Radiol. 2007; 37 498-500
- 10 Singh V, Narasimhan KL, Verma GR. et al . Endoscopic management of traumatic hepatobiliary injuries. J Gastroenterol Hepatol. 2007; 22 1205-1209
- 11 Struyven J, Cremer M, Pirson P. et al . Posttraumatic Bilhemia: diagnosis and catheter therapy. AJR Am J Roentgenol. 1982; 138 746-747
- 12 Sugiyama M, Atomi Y, Matsuoka T. et al . Endoscopic biliary stenting for treatment of persistent biliary fistula after blunt hepatic injury. Gastrointest Endosc. 2000; 51 42-44
- 13 Weintraub JL, Hawari A, English B. et al . Treatment of a biliary-venous fistula following percutaneous biopsy in a pediatric living related liver transplant patient. Pediatr Radiol. 2006; 36 555-557
Correspondence
Dr. Erdal Turk
Denizli Devlet Hastanesi
Pediatric Surgery Denizli
20100 Denizli
Turkey
Phone: +90 258 263 9311
Fax: +90 258 261 9206
Email: eturk19@yahoo.de