Pancreaticoduodenal artery pseudoaneurysm-induced hemobilia caused by a plastic biliary stent.
- Author:
Hong Joo KIM
1
Author Information
- Publication Type:Brief Communication
- Keywords: Aneurysm, false; Angiography; Cholecystectomy, laparoscopic; Hemobilia; Stents
- MeSH: Abdominal Pain; Aneurysm, False; Angiography; Arteries*; Cholangiopancreatography, Endoscopic Retrograde; Cholecystectomy, Laparoscopic; Common Bile Duct; Diagnosis; Drainage; Hemobilia*; Hemorrhage; Humans; Melena; Plastics*; Stents*
- From:Gastrointestinal Intervention 2017;6(2):148-150
- CountryRepublic of Korea
- Language:English
- Abstract: SUMMARY OF EVENT: Melena with abdominal pain were developed in a patient who had undergone endoscopic retrograde cholangiopancreatography (ERCP) with common bile duct stones removal and endoscopic retrograde biliary drainage (ERBD) using a plastic biliary stent. He subsequently underwent laparoscopic cholecystectomy. For the diagnosis and treatment of hemobilia caused by a plastic biliary stent, selective angiography for gastroduodenal artery with subsequent embolization for small pseudoaneurysm of pancreaticoduodenal artery was done successfully. TEACHING POINT: A plastic biliary stent induced pseudoaneurysm can be a cause of hemobilia after ERCP with ERBD procedure. Selective angiography with embolization for bleeding pseudoaneurysm can be an effective treatment for this situation.
