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An Innovative Journal in the Field of Radiology
e-ISSN 2008-2711
p-ISSN 1735-1065
The Current Diagnostic and Treatment Options for Managing Hemobilia
Authors
1Assistant Professor of Medical Science, Imam Reza Hospital, Kermanshah University of Medical Science, Kermanshah, Iran
*Corresponding Author: MD, Assistant Professor of Medical Science, Imam Reza Hospital, Kermanshah University of Medical Science, Kermanshah, Iran, [email protected]. Email: [email protected]
Published online:Apr 12, 2017
Article type:Abstract
Received:Dec 20, 2016
Accepted:Feb 07, 2017
How to Cite:Salehi MG. The Current Diagnostic and Treatment Options for Managing Hemobilia. I J Radiol. 2017;14(Special Issue):e48399. doi: https://doi.org/10.5812/iranjradiol.48399
Abstract
hemobilia is a rare source of upper gasterointestinal bleeding. Though the incidence is increasing along with the rise in minimally invasive biliary interventions. Prompt diagnosis and treatment rests of having appropriate clinical Suspicion which should be based on the patients presenting signs and symptoms, as well as history including recent instrumentation. Endoscopy should be reservedfor cases of upper gasterointestinal bleeding with low suspicion for hemobilia. Interventional radiology may be the first line diagnostic and therapeutic option for patients with a high suspicion of hemobilia. While embolization is the mainstay of therapy, other options include thrombin injection, stent placement, and/or placement of a percutaneous biliary drain. Surgery should be reserved for failed treatment by interventional radiologist.
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© 2017, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.
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