Traumatic Intrahepatic Hemobilia

Arch Surg. 1966;92(6):838-847. doi:10.1001/archsurg.1966.01320240026006.
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THE OCCURRENCE of bleeding into the gastrointestinal tract from the hepatobiliary system is referred to as hemobilia, a term introduced by Sandblom1 in 1948. Although the condition can be caused in a multitude of ways, the present report is concerned with external trauma to the liver as the etiological factor—traumatic intrahepatic hemobilia. Cases of intrahepatic hemobilia complicating operations on the biliary tree are not included.2-6

Similarly, patients presenting with a history of adequate external trauma but lacking some of the clinical and operative features or postmortem confirmation of the disease are excluded.7-16a

It was because of the similarity of this condition to hematuria in kidney injuries that Sandblom introduced the term hemobilia. He implied that it occurs most frequently in central fractures of the liver, leaving the capsule intact. It may, in fact, be associated more often with liver lacerations that include the capsule and on rare


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