[Hemobilia following biliary drainage: percutaneous treatment with arterial embolization and biliary fibrinolysis]. / Emobilia conseguente a drenaggio biliare: trattamento percutaneo con embolizzazione arteriosa e fibrinolisi biliare.

ABSTRACT

The Authors report a case of haemobilia following the performance of biliary drainage. Angiography of the celiac tripod and superior mesenteric artery was carried out in order to evidence the lesion and to perform, during the same session, embolization of the leaking vessel by means of fibrin sponge particles (Spongostan). Subsequent cholangiographic controls demonstrated the presence of bile ducts clots then treated by loco-regional infusion of urokinase. On the basis of the Authors' personal experience, the combination of loco-regional biliary fibrinolytic treatment and embolisation leads to the resolution of the cause of hematobilia and of retention jaundice.