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  • Title: Treatment of haemobilia by selective arterial embolisation.
    Author: Fagan EA, Allison DJ, Chadwick VS, Hodgson HJ.
    Journal: Gut; 1980 Jun; 21(6):541-4. PubMed ID: 7429317.
    Abstract:
    We report a patient in whom haemobilia occurred after percutaneous liver biopsy. Selective hepatic arteriography showed a fistula between hepatic artery and portal venous system, with appearance of contrast in the biliary tract. Intrahepatic bleeding was stopped by arterial embolisation with a mixture of gelatine foam and sterile dura mater. Cholecytectomy was subsequently required as a haemocholecyst developed. The technique of arteriography and embolisation allows accurate localisation of intrahepatic bleeding sites and may avoid the need for a direct surgical approach to this problem.
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