Endovascular Management of Massive Hemobilia as a Late Complication of Percutaneous Biliary Drainage in a Pediatric Liver Transplant Recipient: A Case Report

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2014-07-01
Autores
Szejnfeld, D. [UNIFESP]
Fornazari, V. A. V. [UNIFESP]
Imada, A. C. [UNIFESP]
Linhares, M. M. [UNIFESP]
Azevedo, R. A. [UNIFESP]
Salzedas-Netto, A. A. [UNIFESP]
Gonzalez, A. M. [UNIFESP]
Goldman, S. M. [UNIFESP]
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Development of biliary strictures after liver transplantation is not uncommon, and minimally invasive procedures are the first-line treatment of choice in most centers. Hemobilia is an infrequent, usually self-limited complication related to the initial biliary access procedure. Massive hemobilia with severe hemodynamic instability is a rare event, particularly as a delayed complication. the difficulty of obtaining surgical access makes management of this condition highly challenging. Endovascular embolization may represent an important treatment option in this setting.
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Transplantation Proceedings. New York: Elsevier B.V., v. 46, n. 6, p. 1889-1891, 2014.
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