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.
Similar content being viewed by others
References
Sandblom PH, Jakobsson B, Lindgren H et al (2000) Fatal bilhemia. Surgery 127:354–357
Azizkhan R, Taylor L, Jaques P et al (1992) Percutaneous translumbar and transhepatic inferior vena caval catheters for prolonged vascular access in children. J Pediatr Surg 27:165–169
Johnson JL, Fellows KE, Murphy JD (1995) Transhepatic central venous access for cardiac catheterization and radiologic intervention. Catheter Cardiovasc Diagn 35:168–171
Kaufman JA, Greenfield AJ, Fitzpatrick GF (1991) Transhepatic cannulation of the inferior vena cava. J Vasc Interv Radiol 2:331–334
Haberlik A, Cendron M, Sauer H (1992) Biliovenous fistula in children after blunt liver trauma: proposal for a simple surgical treatment. J Pediatr Surg 27:1203–1206
Blum U, Buitrago-Tellez C, el Seif M et al (1993) Posttraumatic bilhemia: conservative management by percutaneous drainage. Cardiovasc Intervent Radiol 16:55–57
Silberzweig J, Sacks D, Khorsandi A et al (2000) Reporting standards for central venous access. J Vasc Interv Radiol 11:391–400
Struyven J, Cremer M, Pirson P et al (1982) Posttraumatic bilhemia: diagnosis and catheter therapy. AJR 138:746–747
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
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
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00247-007-0432-2