Hemobilia 是肝移植的稀罕胆汁的复杂并发症。hemobilia 的占优势的原因是因医生之治疗而引的,并且它经常与创伤的操作被联系,例如经皮的肝干预,内视镜后退 cholangiopancreatography,胆囊炎,胆汁的道外科,和肝移植。经皮的 transhepatic cholangiography 和肝活体检视是在肝的 hemobilia 的二个主要原因移植接受者。Hemobilia 可以被凝结缺点也引起。它能形成 intracholedochal hematomas,引起妨碍的黄疸。此处,我们描述一个病人, intracholedochal hematoma 为暴发性的肝的失败在肝移植以后导致重要妨碍的黄疸。以前的研究证明了那经皮的 transhepatic 操作是在肝移植以后的 hemobilia 的一个主要原因,但是在我们的情况中,经皮的 transhepatic 干预被用来减轻胆汁的阻塞并且溶解胆汁的块,与好结果。
Hemobilia is a rare biliary complication of liver transplantation.The predominant cause of hemobilia is iatrogenic,and it is often associated with traumatic operations,such as percutaneous liver intervention,endoscopic retrograde cholangiopancreatography,cholecystectomy,biliary tract surgery,and liver transplantation.Percutaneous transhepatic cholangiography and liver biopsy are two major causes of hemobilia in liver transplant recipients.Hemobilia may also be caused by coagulation defects.It can form intracholedochal hematomas,causing obstructive jaundice.Herein we describe a patient with an intracholedochal hematoma resulting in significant obstructive jaundice after liver transplantation for fulminant hepatic failure.Previous studies have shown that percutaneous transhepatic manipulation is a major cause of hemobilia after liver transplantation,but in our case,percutaneous transhepatic intervention was used to relieve the biliary obstruction and dissolve the biliary clot,with a good outcome.