Portal cavernography during endoscopic retrograde cholangiopancreatography: from bilhemia to hemobilia

Portobiliary fistulas are rare but may lead to life-threatening complications. Biliary plastic stent-induced portobiliary fistulas during endoscopic retrograde cholangiopancreatography have been described. Herein, we present a case of portal cavernography and recurrent hemobilia after endoscopic ret...

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Detalles Bibliográficos
Autores principales: Yared, Rawad A., Gkolfakis, Paraskevas, Lemmers, Arnaud, Huberty, Vincent, Degrez, Thierry, Devière, Jacques, Blero, Daniel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Gastrointestinal Endoscopy 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10393578/
https://www.ncbi.nlm.nih.gov/pubmed/36600659
http://dx.doi.org/10.5946/ce.2021.276
Descripción
Sumario:Portobiliary fistulas are rare but may lead to life-threatening complications. Biliary plastic stent-induced portobiliary fistulas during endoscopic retrograde cholangiopancreatography have been described. Herein, we present a case of portal cavernography and recurrent hemobilia after endoscopic retrograde cholangiopancreatography in which a portobiliary fistula was detected in a patient with portal biliopathy. This likely indicates a change in clinical presentation (from bilhemia to hemobilia) after biliary drainage that was successfully treated by placement of a fully covered, self-expandable metallic stent.

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