Display options
Cite
Vachhani PG, Copelan A, Remer EM, et al. Iatrogenic hepatopancreaticobiliary injuries: a review. Semin Intervent Radiol. 2015;32(2):182-94doi: 10.1055/s-0035-1549377.
Vachhani, P. G., Copelan, A., Remer, E. M., & Kapoor, B. (2015). Iatrogenic hepatopancreaticobiliary injuries: a review. Seminars in interventional radiology, 32(2), 182-94. https://doi.org/10.1055/s-0035-1549377
Vachhani, Prasanti G, et al. "Iatrogenic hepatopancreaticobiliary injuries: a review." Seminars in interventional radiology vol. 32,2 (2015): 182-94. doi: https://doi.org/10.1055/s-0035-1549377
Vachhani PG, Copelan A, Remer EM, Kapoor B. Iatrogenic hepatopancreaticobiliary injuries: a review. Semin Intervent Radiol. 2015 Jun;32(2):182-94. doi: 10.1055/s-0035-1549377. PMID: 26038625; PMCID: PMC4447885.
Copy Download .nbib Format: NLM
Share it on

Semin Intervent Radiol. 2015 Jun;32(2):182-94. doi: 10.1055/s-0035-1549377.

Iatrogenic hepatopancreaticobiliary injuries: a review.

Seminars in interventional radiology

Prasanti G Vachhani, Alexander Copelan, Erick M Remer, Baljendra Kapoor

Affiliations

  1. Department of Radiology, Johns Hopkins Hospital, Baltimore, Maryland.
  2. Department of Diagnostic Radiology, William Beaumont Hospital, Royal Oak, Michigan.
  3. Department of Abdominal Radiology, Cleveland Clinic, Cleveland, Ohio.
  4. Department of Interventional Radiology, Cleveland Clinic, Cleveland, Ohio.

PMID: 26038625 PMCID: PMC4447885 DOI: 10.1055/s-0035-1549377

Abstract

Iatrogenic hepatopancreaticobiliary injuries occur after various types of surgical and nonsurgical procedures. Symptomatically, these injuries may lead to a variety of clinical presentations, including tachycardia and hypotension from hemobilia or hemorrhage. Iatrogenic injuries may be identified during the intervention, immediately afterwards, or have a delayed presentation. These injuries are categorized into nonvascular and vascular injuries. Nonvascular injuries include biliary injuries such as biliary leak or stricture, pancreatic injury, and the development of fluid collections such as abscesses. Vascular injuries include pseudoaneurysms, arteriovenous fistulas, dissection, and perforation. Imaging studies such as ultrasound, computed tomography, magnetic resonance imaging, and digital subtraction angiography are critical for proper diagnosis of these conditions. In this article, we describe the clinical and imaging presentations of these iatrogenic injuries and the armamentarium of minimally invasive procedures (percutaneous drainage catheter placement, balloon dilatation, stenting, and coil embolization) that are useful in their management.

Keywords: bile duct injury; hepatobiliary; hepatopancreaticobiliary; iatrogenic injuries; interventional radiology

References

  1. J Gastrointest Surg. 2009 Aug;13(8):1503-9 - PubMed
  2. Abdom Imaging. 2005 Jul-Aug;30(4):480-7 - PubMed
  3. Cardiovasc Intervent Radiol. 2011 Aug;34(4):774-85 - PubMed
  4. J Vasc Interv Radiol. 2000 Jan;11(1):66-72 - PubMed
  5. AJR Am J Roentgenol. 2014 May;202(5):1130-5 - PubMed
  6. Am Surg. 1999 Oct;65(10):944-8 - PubMed
  7. J Am Coll Surg. 2004 Feb;198(2):218-26 - PubMed
  8. Surg Clin North Am. 2008 Dec;88(6):1329-43; ix - PubMed
  9. J Comput Assist Tomogr. 2010 May-Jun;34(3):348-53 - PubMed
  10. J Radiol. 2007 Dec;88(12):1881-6 - PubMed
  11. World J Gastroenterol. 2009 Sep 7;15(33):4097-104 - PubMed
  12. Ann Surg. 1993 Aug;218(2):129-37 - PubMed
  13. AJR Am J Roentgenol. 2000 May;174(5):1441-5 - PubMed
  14. Radiology. 1999 Jun;211(3):715-22 - PubMed
  15. World J Surg. 2001 Oct;25(10):1241-4 - PubMed
  16. AJR Am J Roentgenol. 2008 Sep;191(3):794-801 - PubMed
  17. J Vasc Interv Radiol. 2010 Jun;21(6):789-95 - PubMed
  18. Radiographics. 2004 May-Jun;24(3):737-54 - PubMed
  19. Surgery. 2007 Oct;142(4):450-6; discussion 456-7 - PubMed
  20. Arch Surg. 1998 Feb;133(2):176-81 - PubMed
  21. AJR Am J Roentgenol. 2012 Oct;199(4):746-55 - PubMed
  22. Dig Dis Sci. 2012 Oct;57(10 ):2703-12 - PubMed
  23. Can Assoc Radiol J. 2012 Aug;63(3 Suppl):S37-40 - PubMed
  24. Ann Surg. 2000 Sep;232(3):430-41 - PubMed
  25. Radiographics. 1998 May-Jun;18(3):605-19 - PubMed
  26. Br J Surg. 2002 Apr;89(4):433-6 - PubMed
  27. Surg Laparosc Endosc. 1994 Dec;4(6):454-6 - PubMed
  28. Radiographics. 2005 Oct;25 Suppl 1:S173-89 - PubMed
  29. PLoS One. 2012;7(10):e46478 - PubMed
  30. Radiographics. 2013 Jan-Feb;33(1):117-34 - PubMed
  31. Surg Endosc. 1998 Apr;12(4):315-21 - PubMed
  32. BMJ. 2012 Oct 11;345:e6457 - PubMed
  33. World J Radiol. 2012 Mar 28;4(3):115-20 - PubMed
  34. Zhonghua Gan Zang Bing Za Zhi. 2012 Apr;20(4):266-9 - PubMed
  35. ANZ J Surg. 2010 Jan;80(1-2):75-81 - PubMed
  36. Hepatobiliary Pancreat Dis Int. 2007 Jun;6(3):294-8 - PubMed
  37. J Am Coll Surg. 1995 Jan;180(1):101-25 - PubMed
  38. Semin Intervent Radiol. 2011 Jun;28(2):252-7 - PubMed
  39. Hepatobiliary Pancreat Dis Int. 2007 Oct;6(5):459-63 - PubMed
  40. Surg Gynecol Obstet. 1976 Jun;142(6):912-4 - PubMed
  41. Arch Surg. 2006 Dec;141(12):1207-13 - PubMed
  42. Ann Vasc Surg. 2003 Nov;17(6):663-9 - PubMed
  43. Mymensingh Med J. 2010 Jul;19(3):422-6 - PubMed
  44. Tech Vasc Interv Radiol. 2008 Jun;11(2):102-10 - PubMed
  45. Arch Surg. 2008 May;143(5):476-81 - PubMed
  46. Am J Surg. 2008 Jun;195(6):763-9 - PubMed
  47. AJR Am J Roentgenol. 2006 Feb;186(2):499-506 - PubMed
  48. Radiographics. 2007 Sep-Oct;27(5):1401-17 - PubMed
  49. JAMA. 2003 Oct 22;290(16):2168-73 - PubMed
  50. Cardiovasc Intervent Radiol. 2000 Nov-Dec;23 (6):472-4 - PubMed
  51. Liver Transpl. 2009 Nov;15(11):1553-6 - PubMed
  52. HPB (Oxford). 2012 Dec;14 (12 ):812-7 - PubMed
  53. J Med Case Rep. 2011 Oct 21;5:518 - PubMed
  54. Indian J Surg. 2010 Dec;72(6):481-4 - PubMed

Publication Types