Ormann W, Starck E, Pausch J
Medizinische Klinik I, Städtische Kliniken Kassel.
Z Gastroenterol. 1991 Apr;29(4):153-5.
Five days after percutaneous liver biopsy we observed in a 42-year-old man with alcoholic liver cirrhosis severe hemobilia requiring transfusions of packed red cells. By means of super-selective arterial embolization, using gelfoam, the bleeding source, an av-fistula, was successfully occluded. Iatrogenic hemobilia, although seen after percutaneous liver biopsy only in app. 0.005% of the cases, is today the most important cause of biliary bleeding, mainly as a complication (app. 3% of the cases) of the widespread use of interventional procedures of the biliary tree (e.g. PTCD). Therapeutically arterial embolization should be considered first if possible.
经皮肝穿刺活检五天后，我们在一名42岁酒精性肝硬化男性患者中观察到严重的胆道出血，需要输注浓缩红细胞。通过使用明胶海绵进行超选择性动脉栓塞，成功封堵了出血源——一个动静脉瘘。医源性胆道出血虽然仅在约0.005%的经皮肝穿刺活检病例中出现，但如今是胆道出血的最重要原因，主要作为胆道树介入操作（如经皮肝穿胆管引流术）广泛应用的并发症（约3%的病例）。在治疗上，如果可能，应首先考虑动脉栓塞。
