Late-onset severe biliary bleeding after endoscopic pigtail plastic stent insertion

نویسندگان

  • Muneji Yasuda
  • Hideki Sato
  • Yuki Koyama
  • Tomoki Sakakida
  • Takumi Kawakami
  • Takeshi Nishimura
  • Hideki Fujii
  • Yoshikazu Nakatsugawa
  • Shinya Yamada
  • Naoya Tomatsuri
  • Yusuke Okuyama
  • Hiroyuki Kimura
  • Takaaki Ito
  • Hiroyuki Morishita
  • Norimasa Yoshida
چکیده

Here, we report our experience with a case of severe biliary bleeding due to a hepatic arterial pseudoaneurysm that had developed 1 year after endoscopic biliary plastic stent insertion. The patient, a 78-year-old woman, presented with hematemesis and obstructive jaundice. Ruptured hepatic arterial pseudoaneurysm was diagnosed, which was suspected to have been caused by long-term placement of an endoscopic retrograde biliary drainage (ERBD) stent. This episode of biliary bleeding was successfully treated by transarterial embolization (TAE). Pseudoaneurysm leading to hemobilia is a rare but potentially fatal complication in patients with long-term placement of ERBD. TAE is a minimally invasive procedure that offers effective treatment for biliary bleeding.

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عنوان ژورنال:

دوره 23  شماره 

صفحات  -

تاریخ انتشار 2017