medigraphic.com
Órgano Oficial del Instituto Nacional de Pediatría

2013, Number 4

<< Back Next >>

Acta Pediatr Mex 2013; 34 (4)

Hemobilia. An unusual complication of liver trauma

Baeza-Herrera C, Toledo-Sánchez OA, Rodríguez-Pulido R, Ibarra-Hernández CR, Godoy-Esquivel AH

Language: Spanish
References: 12
Page: 234-236
PDF size: 682.45 Kb.


ABSTRACT

Introduction. Hemobilia is a complication following a hepatic trauma. It is common in adults, but it is very rare in children. Clinically it is characterized by a triad including jaundice, intermittent abdominal pain and gastrointestinal hemorrhage. Case report. We report a case of hemobilia in a four-year-old boy who sustained an abdominal blunt trauma caused by a motor vehicle. He had to be operated. A laparotomy disclosed a ruptured spleen which required a splenorraphy. He was subsequently discharged. Eighteen days later he was readmitted presenting with the classic triad. A computed tomography (CT scan) showed an image suggestive of hemobilia. Management was conservative. The child had an uneventful course.


REFERENCES

  1. Lackgren G, Lorelius LE, Olsen L, Wassen C. Hemobilia in childhood. J Pediatr Surg. 1988;23:105-1-108.

  2. Sandblom P, Jakobsson B, Lindgren H, Lunderquist A. Fatal bilhemia. Surgery. 2000;127:354-7.

  3. Sanblom P. Iatrogenic hemobilia. Am J Surg. 1986;151:754-8.

  4. Kaneko K, Ando H, Watanabe Y, Seo T, Harada T, Ito F. Gastric duplication communicating with the left hepatic duct: A rare case of recurrent hemobilia in a child. J Pediatr Surg. 1999;34:1539-40.

  5. Wani MA, Gojwari TA, Khan NA, Kosar TL. Hemobilia in a child due to right artery pseudoaneurysm: multidetector row computed tomography demostration. Saudi J Gastroenterol. 2011;17:152-4.

  6. Khalil A, Chadha V, Mandapati R, Matur NB, Mital SK, et al. Hemobilia in a child with liver abscess. J Pediatr Gastroentrol Nutr. 1991;12:136-8.

  7. Brunelle F, Mourage C, Lacombe A, Chaumont P. Emergency embolization in postraumatic hemobilia in a child. J Pediatr Surg. 1985;20:172-4.

  8. Bajpal M, Bhatnagar V, Mitra DK, Upadhyaya P. Surgical management of traumatic hemobilia in children by direct ligation of the bleeding vessel. J Pediatr Surg. 1989;24:436-7.

  9. Steiner Z, Brown RA, Jamieson DH, Millar AJW, Cywes S. Management of hemobilia and persistent biliary fistula after blunt liver trauma. J Pediatr Surg. 1994;12:1575-7.

  10. Lockwood TE, Schorn L, Coln D. Nonoperative management of hemobilia. Ann Surg. 1977;185:335-40.

  11. Hendren WH, Warshaw AL, Fleschli DJ, Bartlett MK. Traumatic hemobilia: non operative management with healing documented by serial angiography. Ann Surg. 1971;174:991-3.

  12. Burns L, Slakey DP. Laparoscopic management of massive hemobilia from an intrahepatic aneurysm. J Society Laparoscop Surg. 2009;13:60-3.




2020     |     www.medigraphic.com