Treatment of posttraumatic hemobilia in penetrating abdominal wound injury
DOI:
https://doi.org/10.18203/2320-6012.ijrms20253982Keywords:
Traumatic hemobilia, Endovascular intervention, False aneurysm, Embolization, Selective angiography, LaparotomyAbstract
This case report details a rare occurrence of traumatic hemobilia in a 29-year-old male following a penetrating stab wound to the abdomen. After initial surgical treatment, the patient developed severe right hypochondrial pain, prompting further investigation that revealed hemobilia. Magnetic resonance imaging (MRI) showed a blood-filled gallbladder and thrombotic masses obstructing the hepatic ducts, leading to a laparotomy that confirmed a liver wound with hemobilia. Postoperative complications included hemorrhagic drainage from the common bile duct, which was addressed through selective angiography that identified a false aneurysm in the liver artery. Successful angioembolization achieved hemostasis, allowing for a smooth recovery without further invasive procedures. This case highlights the effectiveness of X-ray endovascular methods in managing traumatic hemobilia, demonstrating their minimally invasive nature, quicker recovery times, and reduced complications. It advocates for the integration of endovascular techniques in complex trauma management to improve patient outcomes.
Metrics
References
Gachabayov M, Kubachev K, Mityushin S, Zarkua N. Recurrent Hemobilia Due to Right Hepatic Artery Pseudoaneurysm. Clin Med Res. 2017;15(3-4):96-9. DOI: https://doi.org/10.3121/cmr.2017.1376
Gauthier V, Desrosiers J. Post-traumatic haemobilia. Can Med Assoc J. 1960;82(9):473-5.
Schütz ŠO, Rousek M, Pudil J, Záruba P, Malík J, Pohnán R. Delayed Post-Traumatic Hemobilia in a Patient With Blunt Abdominal Trauma: A Case Report and Review of the Literature. Mil Med. 2023;188(11-12):3692-5. DOI: https://doi.org/10.1093/milmed/usac230
Zhornitskiy A, Berry R, Han JY, Tabibian JH. Hemobilia: Historical overview, clinical update, and current practices. Liver International. 2019;39(8):1378-88. DOI: https://doi.org/10.1111/liv.14111
Wang J, Yang L, Xu L, Qin L, Cheng Y. Case report: Recurrent hemobilia due to hepatic artery pseudoaneurysm mimicking gastrointestinal tract bleeding. Front Med (Lausanne). 2023;9. DOI: https://doi.org/10.3389/fmed.2022.1048763
Tien T, Tan YC, Baptiste P, Tanwar S. Haemobilia in a previously stented hilar cholangiocarcinoma: successful haemostasis after the insertion of fcSEMS. Oxf Med Case Rep. 2020;2020(2). DOI: https://doi.org/10.1093/omcr/omaa010
Parvinian A, Fletcher JG, Storm AC, Venkatesh SK, Fidler JL, Khandelwal AR. Challenges in Diagnosis and Management of Hemobilia. RadioGraphics. 2021;41(3):802-13. DOI: https://doi.org/10.1148/rg.2021200192
Shelton J, Raviraj S. A Case Report: Hepatic artery pseudoaneurysm causing life-threatening haemobilia. Int J Surg Case Rep. 2021;86:106350. DOI: https://doi.org/10.1016/j.ijscr.2021.106350
Schouten van der Velden AP, de Ruijter WMJ, Janssen CMM, Schultze Kool LJ, Tan ECTH. Hemobilia as a Late Complication After Blunt Abdominal Trauma: A Case Report and Review of the Literature. J Emerg Med. 2010;39(5):592-5. DOI: https://doi.org/10.1016/j.jemermed.2008.08.015
Cardona JD, Rivero OM, Pinto R, Barragán CA, Torres DF. Endovascular and Endoscopic Treatment of Hemobilia: A Report of Two Cases. Cureus. 2022;14(8):e28383. DOI: https://doi.org/10.7759/cureus.28383
Downloads
Published
How to Cite
Issue
Section
