Endovascular management of massive hemobilia as a late complication of percutaneous biliary drainage in a pediatric liver transplant recipient: a case report

D Szejnfeld; V A V Fornazari; A C Imada; M M Linhares; R A Azevedo; A A Salzedas-Netto; A M Gonzalez; S M Goldman

doi:10.1016/j.transproceed.2014.05.022

Endovascular management of massive hemobilia as a late complication of percutaneous biliary drainage in a pediatric liver transplant recipient: a case report

Transplant Proc. 2014 Jul-Aug;46(6):1889-91. doi: 10.1016/j.transproceed.2014.05.022.

Authors

D Szejnfeld¹, V A V Fornazari², A C Imada³, M M Linhares³, R A Azevedo³, A A Salzedas-Netto³, A M Gonzalez³, S M Goldman²

Affiliations

¹ Diagnostic Imaging Department, Federal University of São Paulo, São Paulo, Brazil. Electronic address: denis.cura@gmail.com.
² Diagnostic Imaging Department, Federal University of São Paulo, São Paulo, Brazil.
³ Surgery Department, Federal University of São Paulo, São Paulo, Brazil.

PMID: 25131062
DOI: 10.1016/j.transproceed.2014.05.022

Abstract

Development of biliary strictures after liver transplantation is not uncommon, and minimally invasive procedures are the first-line treatment of choice in most centers. Hemobilia is an infrequent, usually self-limited complication related to the initial biliary access procedure. Massive hemobilia with severe hemodynamic instability is a rare event, particularly as a delayed complication. The difficulty of obtaining surgical access makes management of this condition highly challenging. Endovascular embolization may represent an important treatment option in this setting.

Publication types

Case Reports

MeSH terms

Biliary Tract Surgical Procedures / adverse effects
Child
Cholestasis / therapy
Drainage* / methods
Embolization, Therapeutic / methods*
Endovascular Procedures*
Female
Hemobilia / therapy*
Humans
Liver Transplantation* / adverse effects
Transplant Recipients