Delayed bilhemia complicating percutaneous transhepatic biliary drainage: Successful treatment with primary coil embolization
Bilhemia is very rare and serious complication of percutaneous transhepatic biliary drainage (PBD). Bile leakage occurs into the bloodstream through a fistula between the biliary tree and the hepatic venous system. We report a case of a 45-year-old woman with bilhemia complicated by PBD. She was suc...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-02-01
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| Series: | Radiology Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043318305156 |
| _version_ | 1818127491804430336 |
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| author | Mehmet Semih Çakır, MD Tevfik Guzelbey, MD Erdem Kınacı, MD Mert Mahsuni Sevinc, MD Ozgur Kilickesmez, MD |
| author_facet | Mehmet Semih Çakır, MD Tevfik Guzelbey, MD Erdem Kınacı, MD Mert Mahsuni Sevinc, MD Ozgur Kilickesmez, MD |
| author_sort | Mehmet Semih Çakır, MD |
| collection | DOAJ |
| description | Bilhemia is very rare and serious complication of percutaneous transhepatic biliary drainage (PBD). Bile leakage occurs into the bloodstream through a fistula between the biliary tree and the hepatic venous system. We report a case of a 45-year-old woman with bilhemia complicated by PBD. She was successfully treated with primary coil embolization of biliovenous fistula tract. In the follow-up, bilirubin values dramatically regressed and returned to its normal limits. Rapid increase in total and direct bilirubin values after PBD without biliary tree dilatation almost always suggest biliovenous fistula. It is more likely that biliovenous fistulas will develop in catheters that are removed before the time of the tract maturation. Symptomatic bilhemia should be treated as soon as possible to prevent major complications like bile pulmonary embolism and biliary sepsis. Keywords: Bilhemia, Hemobilia, Hyperbilirubinemia, Embolization |
| first_indexed | 2024-12-11T07:18:12Z |
| format | Article |
| id | doaj.art-c1ff1c1b7f494e5294670fad082d2dcd |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-11T07:18:12Z |
| publishDate | 2019-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-c1ff1c1b7f494e5294670fad082d2dcd2022-12-22T01:16:10ZengElsevierRadiology Case Reports1930-04332019-02-01142269272Delayed bilhemia complicating percutaneous transhepatic biliary drainage: Successful treatment with primary coil embolizationMehmet Semih Çakır, MD0Tevfik Guzelbey, MD1Erdem Kınacı, MD2Mert Mahsuni Sevinc, MD3Ozgur Kilickesmez, MD4Department of Diagnostic and Interventional Radiology, Istanbul Training and Research Hospital, Istanbul, 34098, Turkey; Corresponding author.Department of Diagnostic and Interventional Radiology, Istanbul Training and Research Hospital, Istanbul, 34098, TurkeyDepartment of Hepatobiliary Surgery, Istanbul Training and Research Hospital, Istanbul 34098, TurkeyDepartment of Hepatobiliary Surgery, Istanbul Training and Research Hospital, Istanbul 34098, TurkeyDepartment of Diagnostic and Interventional Radiology, Istanbul Training and Research Hospital, Istanbul, 34098, TurkeyBilhemia is very rare and serious complication of percutaneous transhepatic biliary drainage (PBD). Bile leakage occurs into the bloodstream through a fistula between the biliary tree and the hepatic venous system. We report a case of a 45-year-old woman with bilhemia complicated by PBD. She was successfully treated with primary coil embolization of biliovenous fistula tract. In the follow-up, bilirubin values dramatically regressed and returned to its normal limits. Rapid increase in total and direct bilirubin values after PBD without biliary tree dilatation almost always suggest biliovenous fistula. It is more likely that biliovenous fistulas will develop in catheters that are removed before the time of the tract maturation. Symptomatic bilhemia should be treated as soon as possible to prevent major complications like bile pulmonary embolism and biliary sepsis. Keywords: Bilhemia, Hemobilia, Hyperbilirubinemia, Embolizationhttp://www.sciencedirect.com/science/article/pii/S1930043318305156 |
| spellingShingle | Mehmet Semih Çakır, MD Tevfik Guzelbey, MD Erdem Kınacı, MD Mert Mahsuni Sevinc, MD Ozgur Kilickesmez, MD Delayed bilhemia complicating percutaneous transhepatic biliary drainage: Successful treatment with primary coil embolization Radiology Case Reports |
| title | Delayed bilhemia complicating percutaneous transhepatic biliary drainage: Successful treatment with primary coil embolization |
| title_full | Delayed bilhemia complicating percutaneous transhepatic biliary drainage: Successful treatment with primary coil embolization |
| title_fullStr | Delayed bilhemia complicating percutaneous transhepatic biliary drainage: Successful treatment with primary coil embolization |
| title_full_unstemmed | Delayed bilhemia complicating percutaneous transhepatic biliary drainage: Successful treatment with primary coil embolization |
| title_short | Delayed bilhemia complicating percutaneous transhepatic biliary drainage: Successful treatment with primary coil embolization |
| title_sort | delayed bilhemia complicating percutaneous transhepatic biliary drainage successful treatment with primary coil embolization |
| url | http://www.sciencedirect.com/science/article/pii/S1930043318305156 |
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