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Delayed Severe Hemobilia after Endoscopic Biliary Plastic Stent Insertion

Identifieur interne : 000437 ( Pmc/Corpus ); précédent : 000436; suivant : 000438

Delayed Severe Hemobilia after Endoscopic Biliary Plastic Stent Insertion

Auteurs : Sung Hak Lee ; Seung Goun Hong ; Kyoung Yong Lee ; Pyung Kang Park ; Sung Du Kim ; Mahn Lee ; Dong Wook Yu ; Man Yong Hong

Source :

RBID : PMC:4895946

Abstract

Hemobilia is a rare gastrointestinal bleeding, usually caused by injury to the bile duct. Hemobilia after endoscopic retrograde cholangiopancreatography (ERCP) is generally self-limiting and patients will spontaneously recover, but some severe and fatal hemorrhages have been reported. ERCP-related bowel or bile duct perforation should be managed promptly, according to the type of injury and the status of the patient. We recently experienced a case of late-onset severe hemobilia in which the patient recovered after endoscopic biliary stent insertion. The problem was attributable to ERCP-related bile duct perforation during stone removal, approximately 5 weeks prior to the hemorrhagic episode. The removal of the stent was performed 10 days before the onset of hemobilia. The bleeding was successfully treated by two sessions of transarterial coil embolization.


Url:
DOI: 10.5946/ce.2015.081
PubMed: 27012288
PubMed Central: 4895946

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