Delayed Severe Hemobilia after Endoscopic Biliary Plastic Stent Insertion.
- Author:
Sung Hak LEE
1
;
Seung Goun HONG
;
Kyoung Yong LEE
;
Pyung Kang PARK
;
Sung Du KIM
;
Mahn LEE
;
Dong Wook YU
;
Man Yong HONG
Author Information
- Publication Type:Case Report
- Keywords: Hemobilia; Delayed; Cholangiopancreatography, endoscopic retrograde; Perforation; Stents
- MeSH: Bile Ducts; Cholangiopancreatography, Endoscopic Retrograde; Embolization, Therapeutic; Hemobilia*; Hemorrhage; Humans; Plastics*; Stents*
- From:Clinical Endoscopy 2016;49(3):303-307
- CountryRepublic of Korea
- Language:English
- 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.
