Life-threatening Hemobilia following Removal of a Biliary Stent in a Patient with a Bile Leak.
10.15279/kpba.2015.20.2.99
- Author:
Byung Joon PARK
1
;
Tae Hoon LEE
;
Sang Heum PARK
;
Young Whan JANG
;
Yun Mi KWAK
;
Woong Hee LEE
;
Sang Ho BAE
;
Chang Ho KIM
Author Information
1. Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea. thlee9@schmc.ac.kr
- Publication Type:Case Report
- Keywords:
Bile leak;
Hemobilia;
Biliary stent;
Angiography
- MeSH:
Angiography;
Bile*;
Blood Vessel Prosthesis;
Cholangitis;
Emergencies;
Hemobilia*;
Hemostasis, Endoscopic;
Humans;
Liver;
Mastectomy, Segmental;
Plastics;
Stents*
- From:Korean Journal of Pancreas and Biliary Tract
2015;20(2):99-104
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Biliary plastic stent induced life-threatening hemobilia is very rare. In this case, hemobilia seriously worsened following removal of a biliary stent, which had been placed for treatment of a postoperative bile leak in a patient who had undergone lateral liver segmentectomy for abdominal trauma. Following placement of the biliary stent, the bile leak improved, but hemobilia and cholangitis developed five days later. To manage the stent malfunction, we removed the biliary stent. However, life-threatening hemobilia developed immediately after removal. Endoscopic hemostasis was impossible; therefore, emergency angiographic embolization and stent graft were performed successfully. In such cases, angiographic embolization and stent-graft placement are effective diagnostic and therapeutic alternatives. When a patient develops hemobilia or cholangitis after biliary stent placement, endoscopists should pay special attention to remove the stent, which might exacerbate hemobilia.
