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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Bibliographic Details
Main Authors: Rawad A. Yared, Paraskevas Gkolfakis, Arnaud Lemmers, Vincent Huberty, Thierry Degrez, Jacques Devière, Daniel Blero
Format: Article
Language:English
Published: Korean Society of Gastrointestinal Endoscopy 2023-07-01
Series:Clinical Endoscopy
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Online Access:http://www.e-ce.org/upload/pdf/ce-2021-276.pdf
Description
Summary: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.
ISSN:2234-2400
2234-2443