Hemobilia after Menghini puncture
Regal, T.; Lafrenz, M.; Sänger, R.
Zeitschrift für die Gesamte Innere Medizin und Ihre Grenzgebiete 35(6): 262-264
1980
ISSN/ISBN: 0044-2542 PMID: 7405319 Document Number: 159493
In 100 patients before and after a percutaneous blind puncture of the liver, biliary juice was received with the help of duodenal ultrasound. This was investigated for blood admixtures microscopically and chemically. In 21 out of 100 punctures patients' blood was proved in the duodenal juice: in 11 cases the proof of blood was positive before and after the puncture and in 10 patients only after the puncture blood was found in the duodenal juice. Macrohemobilia was never observed. The influence of thromboplastin time, number of thrombocytes, time of hemorrhage, age and basic disease on the development and support of microhemobilia was examined. About 10% of the patients had a microhemobilia taking into consideration indications and contraindications.