Transcatheter embolization of the liver for control of massive hemobilia in a patient with adenocarcinoma of the gallbladder invading the intrahepatic biliary system.

Successful control of massive hemobilia by combined peripheral and proximal transcatheter embolization of the liver is described. Our patient had adenocarcinoma of the gallbladder with extension to the liver and invasion of intrahepatic and extrahepatic bile ducts. This caused hemobilia which became uncontrollable after percutaneous exchange of biliary drainage catheter that had been placed previously for relief of obstructive jaundice.