The Experts below are selected from a list of 243 Experts worldwide ranked by ideXlab platform
F Inoue - One of the best experts on this subject based on the ideXlab platform.
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Malignant Haemobilia detected in the gallbladder—retrograde cholangiographic findings
The British journal of radiology, 1996Co-Authors: H Osawa, Y Mori, F InoueAbstract:Haemobilia caused by gallbladder cancer is a rare condition and cholangiography rarely detects gallbladder haemorrhage because cancer cells or blood clots obstruct the cystic duct. We describe a patient with Haemobilia caused by gallbladder cancer, in whom retrograde cholangiography showed a cast-like filling defect in the common bile duct and, in addition, several string-like defects in the gallbladder. The string-like defects appeared to be streams of clotted blood flowing towards the common bile duct in this case of relatively minor haemorrhage.
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malignant Haemobilia detected in the gallbladder retrograde cholangiographic findings
British Journal of Radiology, 1996Co-Authors: H Osawa, Y Mori, F InoueAbstract:Haemobilia caused by gallbladder cancer is a rare condition and cholangiography rarely detects gallbladder haemorrhage because cancer cells or blood clots obstruct the cystic duct. We describe a patient with Haemobilia caused by gallbladder cancer, in whom retrograde cholangiography showed a cast-like filling defect in the common bile duct and, in addition, several string-like defects in the gallbladder. The string-like defects appeared to be streams of clotted blood flowing towards the common bile duct in this case of relatively minor haemorrhage.
Juan R. Malagelada - One of the best experts on this subject based on the ideXlab platform.
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Pancreatitis and Haemobilia due to arterioportal fistula after percutaneous liver biopsy resolved by selective arterial embolization.
European journal of gastroenterology & hepatology, 2001Co-Authors: José Antonio Gomez-valero, José Sardi, Jaume Vilaseca, Mercedes Perez Lafuente, Juan R. MalageladaAbstract:Haemobilia and arterioportal fistula are uncommon complications secondary to percutaneous liver biopsy. We report the case of a patient who developed Haemobilia and subsequently acute pancreatitis as a result of a liver biopsy. Selective hepatic angiogram showed an arterioportal fistula. Transcatheter arterial embolization successfully occluded the fistula. The patient remained asymptomatic 4 months later. We review the published literature concerning acute pancreatitis associated with Haemobilia and draw conclusions for management of similar cases in the future.
H Osawa - One of the best experts on this subject based on the ideXlab platform.
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Malignant Haemobilia detected in the gallbladder—retrograde cholangiographic findings
The British journal of radiology, 1996Co-Authors: H Osawa, Y Mori, F InoueAbstract:Haemobilia caused by gallbladder cancer is a rare condition and cholangiography rarely detects gallbladder haemorrhage because cancer cells or blood clots obstruct the cystic duct. We describe a patient with Haemobilia caused by gallbladder cancer, in whom retrograde cholangiography showed a cast-like filling defect in the common bile duct and, in addition, several string-like defects in the gallbladder. The string-like defects appeared to be streams of clotted blood flowing towards the common bile duct in this case of relatively minor haemorrhage.
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malignant Haemobilia detected in the gallbladder retrograde cholangiographic findings
British Journal of Radiology, 1996Co-Authors: H Osawa, Y Mori, F InoueAbstract:Haemobilia caused by gallbladder cancer is a rare condition and cholangiography rarely detects gallbladder haemorrhage because cancer cells or blood clots obstruct the cystic duct. We describe a patient with Haemobilia caused by gallbladder cancer, in whom retrograde cholangiography showed a cast-like filling defect in the common bile duct and, in addition, several string-like defects in the gallbladder. The string-like defects appeared to be streams of clotted blood flowing towards the common bile duct in this case of relatively minor haemorrhage.
Stephen J. Beningfield - One of the best experts on this subject based on the ideXlab platform.
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Delayed presentation of Haemobilia after penetrating liver injury.
HPB : the official journal of the International Hepato Pancreato Biliary Association, 2006Co-Authors: Jake E. J. Krige, Stephen J. BeningfieldAbstract:Sir, We read with interest the case report describing Haemobilia that presented 2 weeks after a thoracic stab wound 1. The authors indicate that the case is unusual because of the exceptional length of delay and thoracic stabbing as a cause. We have treated 10 patients, 9 men and 1 woman, with post-traumatic Haemobilia, ages ranging from 17 to 44 years (mean age 27 years) over a 36-year period 2. There were eight grade 3 injuries and two grade 4 liver injuries due to penetrating stab wounds in eight patients and blunt trauma in two patients. The mean delay between the initial liver injury and the diagnosis of Haemobilia was 23.5 days (range 1–120 days). Only 4 of the 10 patients presented within 1 week of the injury. Three of the stab wounds presented 13, 14 and 60 days after the injury. One patient with a grade 4 blunt liver injury after a motor vehicle accident (MVA) presented 120 days after the injury. Similar delays in presentation were documented in the study from Durban, with a mean delay of 16 days (range 7–211 days) 3. We agree that selective hepatic artery embolization using either 5 Fr Cobra or similar catheters passed over hydrophilic or Teflon-coated guide wires is the optimal treatment, supplemented by 3 Fr microcatheters when needed. Where possible, an attempt should be made to straddle the arterial injury site by placing coils or other occlusive agents on both sides of the injury to prevent possible retrograde flow and bleeding from intrahepatic arterial collaterals 2. Recanalization may occur in some patients when proximal gelatin sponge or even coils have been used. Gelatin sponge usually reabsorbs within a few weeks, potentially resulting in free bleeding if complete healing of the injury has not occurred, as in chronic causes. The data suggest that delayed presentation of Haemobilia is common both after blunt and penetrating liver injuries and that selective hepatic artery embolization with careful placement of coils or other, preferably non-absorbable material, provides optimal treatment.
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Haemobilia after penetrating and blunt liver injury: treatment with selective hepatic artery embolisation.
Injury, 2004Co-Authors: M.v Forlee, Jake E. J. Krige, C.j Welman, Stephen J. BeningfieldAbstract:Although traumatic Haemobilia is uncommon and occurs in less than 3% of liver injuries, the magnitude of the bleeding may result in life-threatening complications. This study evaluated the efficacy of selective hepatic artery embolisation (HAE) in the control of bleeding in patients with traumatic Haemobilia. The demographic, clinical and angiographic data on all patients with traumatic Haemobilia were obtained from a prospectively documented database of patients undergoing visceral angiography for liver haemorrhage between 1967 and 2002. During the 36-year period under review, 30 patients were found to have Haemobilia on selective hepatic angiography. Ten of these 30 patients had Haemobilia due to accidental non-iatrogenic trauma and form the basis of this study. In 8 of the 10 patients Haemobilia resulted from penetrating liver injuries and two patients had blunt trauma. The mean delay between the initial injury and the diagnosis of Haemobilia was 23.5 (range 1-120) days. The mean blood loss before angiography was 8 (range 3-19) units. Six patients were treated successfully with selective hepatic arterial embolisation, three required surgery and one resolved without any intervention. There were no deaths and no complications resulting in long term sequelae. Traumatic Haemobilia is an uncommon but life-threatening complication of liver injury. Selective arterial embolisation is the initial treatment of choice with a substantial rate of success and a low incidence of serious complications.
Wojciech Cwikiel - One of the best experts on this subject based on the ideXlab platform.
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Utility of Stent-Grafts in Treatment of Porto-Biliary Fistula
CardioVascular and Interventional Radiology, 2006Co-Authors: Bora Peynircioglu, Wojciech CwikielAbstract:A porto-biliary fistula causing hemobilia is a known complication of percutaneous transhepatic biliary drainage (PTBD). We present two patients with hemobilia secondary to porto-biliary fistula, treated successfully by percutaneous placement of stent-grafts. In one case, the stent-graft was placed in the bile duct, and in the other case, it was placed in the intrahepatic portal vein branch. Hemobilia stopped and there were no complications except a small area of hepatic infarction, distal to the stent-graft in the portal vein.
