J Med Assoc Thai 1999; 82 (9):931

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Iatrogenic Hemobilia : Management with Transarterial Embolization Using Gelfoam Particles
Eurvilaichit C Mail

Four patients with life threatening bleeding hemobilia from the hepatic artery were successfully
treated with transarterial embolization with small gelfoam particles with no recurrence
of bleeding on follow-up study. The iatragenic hemobilia occurred inadvertently during surgery in
two patients, with liver biopsy in one patient and percutaneous transhepatic biliary drainage procedure
in another patient. Transarterial embolization appears safe and may be regarded as a lifesafing
treatment for bleeding hemobilia.
Key word : Hemobilia, Embolization, Gelfoam

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