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

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

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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.

HemobiliaBiliary clotFulminant hepatic failurePercutaneous transhepatic biliary drainage

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

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Liver Transplantation Center, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, Jiangsu Province, China

Key Laboratory of Living Donor Liver Transplantation, Ministry of Public Health,Nanjing 210029, Jiangsu Province, China

国家自然科学基金国家自然科学基金Program for New Century Excellent Talents in University,Ministry of Education of China

8107202991029721NCET-09-0160

2012

世界胃肠病学杂志(英文版)
太原消化病研治中心

世界胃肠病学杂志(英文版)

SCI
影响因子:1.001
ISSN:1007-9327
年,卷(期):2012.18(47)
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