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Bilhemia: a fatal complication following percutaneous placement of a transhepatic inferior vena cava catheter in a child

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Abstract

A transhepatic central venous catheter was implanted in a 2-year-old child with a history of multiple venous access procedures and superior and inferior vena cava thrombosis. After 2 weeks, inadvertent dislodgement of the catheter was complicated by a biloma. The biloma was percutaneously drained, but a biliary-venous fistula led to a rapidly progressive and fatal bilhemia. We report this case as an infrequent complication of transhepatic catheterization.

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Authors and Affiliations

  1. Department of Interventional Radiology, Hospital de Pediatria Prof JP Garrahan, Pichincha 1850 (1245), Buenos Aires, Argentina

    Sergio Sierre, Jose Lipsich & Horacio Questa

Authors
  1. Sergio Sierre
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  2. Jose Lipsich
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  3. Horacio Questa
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Correspondence to Sergio Sierre.

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Sierre, S., Lipsich, J. & Questa, H. Bilhemia: a fatal complication following percutaneous placement of a transhepatic inferior vena cava catheter in a child. Pediatr Radiol 37, 498–500 (2007). https://doi.org/10.1007/s00247-007-0432-2

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  • DOI: https://doi.org/10.1007/s00247-007-0432-2

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