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January 1973

Traumatic Hematobilia: Angiographic Diagnosis

Author Affiliations

From the departments of radiology (Drs. Hawes and Franken), pediatrics (Dr. Fitzgerald), and surgery (Dr. Battersby), Indiana University Medical Center, Indianapolis.

Am J Dis Child. 1973;125(1):130-131. doi:10.1001/archpedi.1973.04160010090022

A case of traumatic hematobilia is reported in a 2-year-old girl who showed clinical features of delayed, recurrent gastrointestinal bleeding following trauma. Preoperative diagnosis is possible by noting the characteristic finding on abdominal angiography of a traumatic aneurysm of the hepatic artery. Oblique angiograms determine the exact location for subsequent surgery. The appropriate treatment of hematobilia is surgical excision of the involved portion of the liver.