POSTTRAUMATIC BILHEMIA - CONSERVATIVE MANAGEMENT BY PERCUTANEOUS DRAINAGE

被引:11
作者
BLUM, U
BUITRAGOTELLEZ, C
ELSEIF, M
WIMMER, B
机构
[1] Department of Diagnostic Radiology, University of Freiburg, Freiburg, D-7800
关键词
BLUNT HEPATIC TRAUMA; BILHEMIA; PERCUTANEOUS DRAINAGE;
D O I
10.1007/BF02603040
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Posttraumatic bilhemia complicating liver trauma has been managed surgically so far. A case report of a biliary-venous fistula resulting from blunt hepatic trauma managed successfully by percutaneous drainage is presented. A catheter was placed in the right hepatic lobe for reducing intrahepatic pressure. This procedure was followed by a dramatic decrease of bilirubin blood level. This management emphasizes the role of interventional radiology in the treatment of complicated blunt hepatic trauma.
引用
收藏
页码:55 / 57
页数:3
相关论文
共 11 条
[1]  
Gromm E., Traumann K.J., Bilhämie-Syndrome, eine seltene Komplikation nach Leberblindpunktion mit der Menghini-Nadel, DMW, 34, (1978)
[2]  
Maxeiner H., Iatrogene biliovenöse Fistel, Z. Rechtsmed, 91, pp. 235-246, (1984)
[3]  
Plur S., Schwarz H., Posthepatischer Ikterus nach glattem Leberdurchschuß, Helv Chir Acta, 41, pp. 659-662, (1974)
[4]  
Inberg M.V., Ahonen J., Blunt trauma to the liver and hepatic vein. A special reference to the intense postoperative conjugated hyperbilirubinemia: A case report, Acta Chir Scand, 102, pp. 428-430, (1977)
[5]  
Kleiber M., Bause H.W., Bilio-venöse Fistel als seltene Komplikation nach stumpfem Bauchtrauma, Unfallheilk, 79, pp. 483-486, (1976)
[6]  
Sohendra N., Werner B., Zur Diagnostik der traumatischen Hämobilie und Bilhämie, Dtsch Med Wochenschr, 12, pp. 428-432, (1977)
[7]  
Wittrin G., Clemens M., Safrany L., Schonleben K., Hämobilie und Bilhämie-Komplikationen beim Lebertrauma, ZBL Chirurgie, 103, pp. 1463-1470, (1978)
[8]  
Enneker C., Beren J.P., Schwerste Leberruptur mit Lebervenenabriss und massive Bilhämie, Chirurg, 48, pp. 311-314, (1978)
[9]  
Struyven J., Cremer M., Pirson P., Jeanty P., Jeanmart J., Posttraumatic bilhemia: Diagnosis and catheter therapy, AJR, 138, pp. 746-747, (1982)
[10]  
Briani G.F., Pederzoli P., Orcalli F., Bassi C., Abrescia F., Iacono C., Schonsberg A., Albrigo R., Nicoli N., Bilhemia: Diagnosi e trattamento conservativo a proposito di un caso complicato con ascesso epatico, Chirurgia italiana, 35, pp. 965-971, (1983)