Successful disintegration,dissolution and drainage of intracholedochal hematoma by percutaneous transhepatic intervention  

作　　者：Jian-Jie Qin Yong-Xiang Xia Ling Lv Zhao-Jing Wang Feng Zhang Xue-Hao Wang Bei-Cheng Sun 

机构地区：[1]Liver Transplantation Center,the First Affiliated Hospital of Nanjing Medical University [2]Key Laboratory of Living Donor Liver Transplantation,Ministry of Public Health

出　　处：《World Journal of Gastroenterology》2012年第47期7122-7126,共5页世界胃肠病学杂志（英文版）

基　　金：Supported by National Natural Science Foundation of China, No.81072029 and No.91029721;Program for New Century Excellent Talents in University,Ministry of Education of China,No. NCET-09-0160

摘　　要：Hemobilia is a rare biliary complication of liver transplantation.The predominant cause of hemobilia is iatrogenic,and it is often associated with traumatic operations,such as percutaneous liver intervention,endoscopic retrograde cholangiopancreatography,cholecystectomy,biliary tract surgery,and liver transplantation.Percutaneous transhepatic cholangiography and liver biopsy are two major causes of hemobilia in liver transplant recipients.Hemobilia may also be caused by coagulation defects.It can form intracholedochal hematomas,causing obstructive jaundice.Herein we describe a patient with an intracholedochal hematoma resulting in significant obstructive jaundice after liver transplantation for fulminant hepatic failure.Previous studies have shown that percutaneous transhepatic manipulation is a major cause of hemobilia after liver transplantation,but in our case,percutaneous transhepatic intervention was used to relieve the biliary obstruction and dissolve the biliary clot,with a good outcome.Hemobilia is a rare biliary complication of liver transplantation.The predominant cause of hemobilia is iatrogenic,and it is often associated with traumatic operations,such as percutaneous liver intervention,endoscopic retrograde cholangiopancreatography,cholecystectomy,biliary tract surgery,and liver transplantation.Percutaneous transhepatic cholangiography and liver biopsy are two major causes of hemobilia in liver transplant recipients.Hemobilia may also be caused by coagulation defects.It can form intracholedochal hematomas,causing obstructive jaundice.Herein we describe a patient with an intracholedochal hematoma resulting in significant obstructive jaundice after liver transplantation for fulminant hepatic failure.Previous studies have shown that percutaneous transhepatic manipulation is a major cause of hemobilia after liver transplantation,but in our case,percutaneous transhepatic intervention was used to relieve the biliary obstruction and dissolve the biliary clot,with a good outcome.

关 键 词：HEMOBILIA Biliary clot Fulminant hepatic failure Percutaneous transhepatic biliary drainage 

分 类 号：R657.3[医药卫生—外科学]