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A Case of Successful Placement of a Fully Covered Metallic Stent for Hemobilia Secondary to Hepatocellular Carcinoma with Bile Duct Invasion

Hemobilia represents gastrointestinal bleeding that develops as a result of communication between blood vessels and the biliary tract, which causes the blood to reach the duodenal papilla. It is characterized by biliary colic as the initial symptom, and the complications of cholangitis, obstructive...

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Autores principales: Kawaguchi, Yoshiaki, Ogawa, Masami, Maruno, Atsuko, Ito, Hiroyuki, Mine, Tetsuya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3551402/
https://www.ncbi.nlm.nih.gov/pubmed/23341812
http://dx.doi.org/10.1159/000346341
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author Kawaguchi, Yoshiaki
Ogawa, Masami
Maruno, Atsuko
Ito, Hiroyuki
Mine, Tetsuya
author_facet Kawaguchi, Yoshiaki
Ogawa, Masami
Maruno, Atsuko
Ito, Hiroyuki
Mine, Tetsuya
author_sort Kawaguchi, Yoshiaki
collection PubMed
description Hemobilia represents gastrointestinal bleeding that develops as a result of communication between blood vessels and the biliary tract, which causes the blood to reach the duodenal papilla. It is characterized by biliary colic as the initial symptom, and the complications of cholangitis, obstructive jaundice and/or anemia. In general, definitive diagnosis is made by esophagogastroduodenoscopy which confirms bleeding from the duodenal papilla. Abdominal US and abdominal enhanced CT are performed to identify the source of the bleeding, as well as ERCP for biliary drainage to control the comorbid cholangitis. If active hemorrhage accompanied by worsening of the anemia is suspected, abdominal angiography is performed to selectively image the hepatic artery. Then, embolization of the culprit vessel is recommended. In our patients with difficult hemostasis, because of the direct compression hemostasis to the tumor site achieved with the fully covered metallic stent and secondary compression hemostasis due to blood clots, the bleeding could be controlled.
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spelling pubmed-35514022013-01-22 A Case of Successful Placement of a Fully Covered Metallic Stent for Hemobilia Secondary to Hepatocellular Carcinoma with Bile Duct Invasion Kawaguchi, Yoshiaki Ogawa, Masami Maruno, Atsuko Ito, Hiroyuki Mine, Tetsuya Case Rep Oncol Published online: December, 2012 Hemobilia represents gastrointestinal bleeding that develops as a result of communication between blood vessels and the biliary tract, which causes the blood to reach the duodenal papilla. It is characterized by biliary colic as the initial symptom, and the complications of cholangitis, obstructive jaundice and/or anemia. In general, definitive diagnosis is made by esophagogastroduodenoscopy which confirms bleeding from the duodenal papilla. Abdominal US and abdominal enhanced CT are performed to identify the source of the bleeding, as well as ERCP for biliary drainage to control the comorbid cholangitis. If active hemorrhage accompanied by worsening of the anemia is suspected, abdominal angiography is performed to selectively image the hepatic artery. Then, embolization of the culprit vessel is recommended. In our patients with difficult hemostasis, because of the direct compression hemostasis to the tumor site achieved with the fully covered metallic stent and secondary compression hemostasis due to blood clots, the bleeding could be controlled. S. Karger AG 2012-12-22 /pmc/articles/PMC3551402/ /pubmed/23341812 http://dx.doi.org/10.1159/000346341 Text en Copyright © 2012 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial-No-Derivative-Works License (http://creativecommons.org/licenses/by-nc-nd/3.0/). Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions.
spellingShingle Published online: December, 2012
Kawaguchi, Yoshiaki
Ogawa, Masami
Maruno, Atsuko
Ito, Hiroyuki
Mine, Tetsuya
A Case of Successful Placement of a Fully Covered Metallic Stent for Hemobilia Secondary to Hepatocellular Carcinoma with Bile Duct Invasion
title A Case of Successful Placement of a Fully Covered Metallic Stent for Hemobilia Secondary to Hepatocellular Carcinoma with Bile Duct Invasion
title_full A Case of Successful Placement of a Fully Covered Metallic Stent for Hemobilia Secondary to Hepatocellular Carcinoma with Bile Duct Invasion
title_fullStr A Case of Successful Placement of a Fully Covered Metallic Stent for Hemobilia Secondary to Hepatocellular Carcinoma with Bile Duct Invasion
title_full_unstemmed A Case of Successful Placement of a Fully Covered Metallic Stent for Hemobilia Secondary to Hepatocellular Carcinoma with Bile Duct Invasion
title_short A Case of Successful Placement of a Fully Covered Metallic Stent for Hemobilia Secondary to Hepatocellular Carcinoma with Bile Duct Invasion
title_sort case of successful placement of a fully covered metallic stent for hemobilia secondary to hepatocellular carcinoma with bile duct invasion
topic Published online: December, 2012
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3551402/
https://www.ncbi.nlm.nih.gov/pubmed/23341812
http://dx.doi.org/10.1159/000346341
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