Pericardiobiliary Fistulation: A Rare Complication of Therapeutic ERCP in a Patient With IgG4-Related Sclerosing Cholangitis

A 70-year-old man presented with acute coronary syndrome 3 weeks after plastic stent insertion for hilar biliary stricturing secondary to IgG4-related sclerosing cholangitis (IgG4-SC). Imaging demonstrated haemopericardium due to proximal migration of the plastic biliary stent through the liver caps...

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Detalles Bibliográficos
Autores principales: Paranandi, Bharat, Joshi, Deepak, Johnson, Gavin J., Webster, George J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American College of Gastroenterology 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4508954/
https://www.ncbi.nlm.nih.gov/pubmed/26203452
http://dx.doi.org/10.14309/crj.2015.72
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author Paranandi, Bharat
Joshi, Deepak
Johnson, Gavin J.
Webster, George J.
author_facet Paranandi, Bharat
Joshi, Deepak
Johnson, Gavin J.
Webster, George J.
author_sort Paranandi, Bharat
collection PubMed
description A 70-year-old man presented with acute coronary syndrome 3 weeks after plastic stent insertion for hilar biliary stricturing secondary to IgG4-related sclerosing cholangitis (IgG4-SC). Imaging demonstrated haemopericardium due to proximal migration of the plastic biliary stent through the liver capsule and diaphragm into the pericardial sac. The stent was endoscopically removed and a pericardiocentesis was performed. The patient's clinical condition rapidly improved. We illustrate an unusual but potentially serious complication that may arise from migration of a biliary stent and discuss a management strategy.
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spelling pubmed-45089542015-07-22 Pericardiobiliary Fistulation: A Rare Complication of Therapeutic ERCP in a Patient With IgG4-Related Sclerosing Cholangitis Paranandi, Bharat Joshi, Deepak Johnson, Gavin J. Webster, George J. ACG Case Rep J Case Report A 70-year-old man presented with acute coronary syndrome 3 weeks after plastic stent insertion for hilar biliary stricturing secondary to IgG4-related sclerosing cholangitis (IgG4-SC). Imaging demonstrated haemopericardium due to proximal migration of the plastic biliary stent through the liver capsule and diaphragm into the pericardial sac. The stent was endoscopically removed and a pericardiocentesis was performed. The patient's clinical condition rapidly improved. We illustrate an unusual but potentially serious complication that may arise from migration of a biliary stent and discuss a management strategy. American College of Gastroenterology 2015-07-09 /pmc/articles/PMC4508954/ /pubmed/26203452 http://dx.doi.org/10.14309/crj.2015.72 Text en Copyright © Paranandi et al. This is an open-access article. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/
spellingShingle Case Report
Paranandi, Bharat
Joshi, Deepak
Johnson, Gavin J.
Webster, George J.
Pericardiobiliary Fistulation: A Rare Complication of Therapeutic ERCP in a Patient With IgG4-Related Sclerosing Cholangitis
title Pericardiobiliary Fistulation: A Rare Complication of Therapeutic ERCP in a Patient With IgG4-Related Sclerosing Cholangitis
title_full Pericardiobiliary Fistulation: A Rare Complication of Therapeutic ERCP in a Patient With IgG4-Related Sclerosing Cholangitis
title_fullStr Pericardiobiliary Fistulation: A Rare Complication of Therapeutic ERCP in a Patient With IgG4-Related Sclerosing Cholangitis
title_full_unstemmed Pericardiobiliary Fistulation: A Rare Complication of Therapeutic ERCP in a Patient With IgG4-Related Sclerosing Cholangitis
title_short Pericardiobiliary Fistulation: A Rare Complication of Therapeutic ERCP in a Patient With IgG4-Related Sclerosing Cholangitis
title_sort pericardiobiliary fistulation: a rare complication of therapeutic ercp in a patient with igg4-related sclerosing cholangitis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4508954/
https://www.ncbi.nlm.nih.gov/pubmed/26203452
http://dx.doi.org/10.14309/crj.2015.72
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AT webstergeorgej pericardiobiliaryfistulationararecomplicationoftherapeuticercpinapatientwithigg4relatedsclerosingcholangitis

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