Traumatic Hemobilia

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Abstract
THE clinical entity of traumatic hemobilia was first recognized by Sandblom1 in 1948. He coined the term to denote bleeding into the biliary system secondary to liver trauma, and likened this condition to traumatic hematuria resulting from kidney injury. Such an injury to the liver must produce communication between blood vessels and bile ducts in a closed space so that egress of bile, blood and liver fragments occurs through the outflow biliary tree. Hemorrhage through the biliary tract has been reported in a number of liver diseases,2 3 4 but traumatic hemobilia is relatively rare. We have found only 27 documented cases . . .

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