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Original Article

Spontaneous life-threatening hemobilia during acute liver failure successfully treated with transarterial embolization

Authors:

V Boecxstaens ,

Department of 1. Abdominal Transplantation Surgery, University Hospitals Leuven, Leuven, Belgium, BE
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S Heye,

Department of Interventional Radiology, University Hospitals Leuven, Leuven, Belgium, BE
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G Maleux,

Department of Interventional Radiology, University Hospitals Leuven, Leuven, Belgium, BE
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Ph Roelandt,

Department of Hepatology, University Hospitals Leuven, Leuven, Belgium, BE
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D Cassiman,

Department of Hepatology, University Hospitals Leuven, Leuven, Belgium, BE
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W Laleman,

Department of Hepatology, University Hospitals Leuven, Leuven, Belgium, BE
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Ch Verslype,

Department of Hepatology, University Hospitals Leuven, Leuven, Belgium, BE
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W Van Steenbergen,

Department of Hepatology, University Hospitals Leuven, Leuven, Belgium, BE
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F Nevens,

Department of Hepatology, University Hospitals Leuven, Leuven, Belgium, BE
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Ph Meersseman,

Department of Medical Intensive Care, University Hospitals Leuven, Leuven, Belgium, BE
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P Verhamme,

Department of Vascular Diseases and Haemostasis, University Hospitals Leuven, Leuven, Belgium, BE
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R Aerts,

Department of Abdominal Transplantation Surgery, University Hospitals Leuven, Leuven, Belgium, BE
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J Pirenne,

Department of Abdominal Transplantation Surgery, University Hospitals Leuven, Leuven, Belgium, BE
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D Monbaliu

Department of Abdominal Transplantation Surgery, University Hospitals Leuven, Leuven, Belgium, BE
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Abstract

A 28-year-old patient admitted with jaundice, vomiting and deteriorating coagulopathy was diagnosed with acute liver failure. After listing for urgent transplantation, he developed Boerhaave’s syndrome and massive hemobilia, two life-threatening complications. Massive hemobilia secondary to a fistula between the right hepatic artery and the right bile duct occurred several days after transjugular biopsy and was controlled with fluid resuscitation, transfusion and arterial embolization. Two days later he was transplanted successfully, and is currently doing well after more than 72 months. Aggressive treatment of potentially reversible complications during acute liver failure whilst awaiting transplantation is mandatory to allow survival of these patients.

How to Cite: Boecxstaens V, Heye S, Maleux G, Roelandt P, Cassiman D, Laleman W, et al.. Spontaneous life-threatening hemobilia during acute liver failure successfully treated with transarterial embolization. Journal of the Belgian Society of Radiology. 2014;97(6):361–3. DOI: http://doi.org/10.5334/jbr-btr.126
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Published on 01 Nov 2014.
Peer Reviewed

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