Delayed Hemobilia Caused by Penetration of Biliary Plastic Stent into Portal Vein

Biliary stent migration is one of the late complications endoscopic retrograde cholangiopancreatography. Most biliary asymptomatic and successfully managed by removal. A 66-year-old man with unresectable pancreatic cancer, common bile duct obstruction, duodenal third portion obstruction underwent plastic placement uncovered metallic in two separate sessions. After 3 weeks from stenting, he presented hematemesis. Urgent esophagogastroduodenoscopy magnetic resonance imaging showed hemobilia. The patient recovered conservative managements. Cross-sectional imagings done 2 months later demonstrated penetration into portal vein. Here, we present a case delayed hemobilia caused