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CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2022; 06(03): 205-206
DOI: 10.1055/s-0041-1740569
Case Report

Acute Arteriobiliary Fistula Emergent Long after Biliary Drainage and Radioembolization

Murat Dökdök
1   Radiology Department, Anadolu Medical Center Hospital Affiliated with John's Hopkins, Gebze-Kocaeli, Turkey
,
Kutlay Karaman
1   Radiology Department, Anadolu Medical Center Hospital Affiliated with John's Hopkins, Gebze-Kocaeli, Turkey
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Abstract

Various causes of hemobilia have been described in the literature, majority being iatrogenic. Other different pathologies such as inflammation and tumors also have been described. A 55-year-old male, who had a history of obstructive jaundice caused by a 4-cm liver mass treated with external-internal biliary drainage and transarterial radioembolization 6 months back, presented with acute hemobilia. Computed tomography demonstrated widespread radionecrosis of the right lobe and extravasation of intravascular contrast from right hepatic artery into common bile duct. Verified on angiography, the arteriobiliary fistula was managed with coil embolization.

Keywords

late-onset hemobilia - arteriobiliary fistula - arterial injury - radionecrosis


Publikationsverlauf

Artikel online veröffentlicht:
17. Januar 2022

© 2022. Indian Society of Vascular and Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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