Needle-Knife Fistulotomy for the Rescue: An Unusual Cause of Iatrogenic Extrahepatic Biliary Obstruction

A 71-year-old male presented to our institution with cholestatic hepatitis after having recently undergone upper endoscopy for treatment of gastrointestinal bleeding. Further investigation with endoscopic retrograde cholangiopancreatography revealed a hemostatic clip on the ampulla of Vater. After i...

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Autores principales: Ulmer, Laura L., Jha, Lokesh K., Bhogal, Neil, Kapur, Saurabh, Chandan, Saurabh, Eichele, Derrick, Bhat, Ishfaq, Singh, Shailender
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5831835/
https://www.ncbi.nlm.nih.gov/pubmed/29666721
http://dx.doi.org/10.1155/2018/8159451
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author Ulmer, Laura L.
Jha, Lokesh K.
Bhogal, Neil
Kapur, Saurabh
Chandan, Saurabh
Eichele, Derrick
Bhat, Ishfaq
Singh, Shailender
author_facet Ulmer, Laura L.
Jha, Lokesh K.
Bhogal, Neil
Kapur, Saurabh
Chandan, Saurabh
Eichele, Derrick
Bhat, Ishfaq
Singh, Shailender
author_sort Ulmer, Laura L.
collection PubMed
description A 71-year-old male presented to our institution with cholestatic hepatitis after having recently undergone upper endoscopy for treatment of gastrointestinal bleeding. Further investigation with endoscopic retrograde cholangiopancreatography revealed a hemostatic clip on the ampulla of Vater. After initial attempts at cannulation of the common bile duct were unsuccessful, biliary decompression was achieved by use of needle-knife fistulotomy. A common bile duct stent was placed and the liver function tests improved prior to discharge.
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spelling pubmed-58318352018-04-17 Needle-Knife Fistulotomy for the Rescue: An Unusual Cause of Iatrogenic Extrahepatic Biliary Obstruction Ulmer, Laura L. Jha, Lokesh K. Bhogal, Neil Kapur, Saurabh Chandan, Saurabh Eichele, Derrick Bhat, Ishfaq Singh, Shailender Case Rep Gastrointest Med Case Report A 71-year-old male presented to our institution with cholestatic hepatitis after having recently undergone upper endoscopy for treatment of gastrointestinal bleeding. Further investigation with endoscopic retrograde cholangiopancreatography revealed a hemostatic clip on the ampulla of Vater. After initial attempts at cannulation of the common bile duct were unsuccessful, biliary decompression was achieved by use of needle-knife fistulotomy. A common bile duct stent was placed and the liver function tests improved prior to discharge. Hindawi 2018-01-30 /pmc/articles/PMC5831835/ /pubmed/29666721 http://dx.doi.org/10.1155/2018/8159451 Text en Copyright © 2018 Laura L. Ulmer et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Ulmer, Laura L.
Jha, Lokesh K.
Bhogal, Neil
Kapur, Saurabh
Chandan, Saurabh
Eichele, Derrick
Bhat, Ishfaq
Singh, Shailender
Needle-Knife Fistulotomy for the Rescue: An Unusual Cause of Iatrogenic Extrahepatic Biliary Obstruction
title Needle-Knife Fistulotomy for the Rescue: An Unusual Cause of Iatrogenic Extrahepatic Biliary Obstruction
title_full Needle-Knife Fistulotomy for the Rescue: An Unusual Cause of Iatrogenic Extrahepatic Biliary Obstruction
title_fullStr Needle-Knife Fistulotomy for the Rescue: An Unusual Cause of Iatrogenic Extrahepatic Biliary Obstruction
title_full_unstemmed Needle-Knife Fistulotomy for the Rescue: An Unusual Cause of Iatrogenic Extrahepatic Biliary Obstruction
title_short Needle-Knife Fistulotomy for the Rescue: An Unusual Cause of Iatrogenic Extrahepatic Biliary Obstruction
title_sort needle-knife fistulotomy for the rescue: an unusual cause of iatrogenic extrahepatic biliary obstruction
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5831835/
https://www.ncbi.nlm.nih.gov/pubmed/29666721
http://dx.doi.org/10.1155/2018/8159451
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