Gastrointest Interv.  2017 Jul;6(2):148-150. 10.18528/gii.170007.

Pancreaticoduodenal artery pseudoaneurysm-induced hemobilia caused by a plastic biliary stent

Affiliations
  • 1Division of Gastroenterology, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. hongjoo3.kim@samsung.com

Abstract

SUMMARY OF EVENT: Melena with abdominal pain were developed in a patient who had undergone endoscopic retrograde cholangiopancreatography (ERCP) with common bile duct stones removal and endoscopic retrograde biliary drainage (ERBD) using a plastic biliary stent. He subsequently underwent laparoscopic cholecystectomy. For the diagnosis and treatment of hemobilia caused by a plastic biliary stent, selective angiography for gastroduodenal artery with subsequent embolization for small pseudoaneurysm of pancreaticoduodenal artery was done successfully. TEACHING POINT: A plastic biliary stent induced pseudoaneurysm can be a cause of hemobilia after ERCP with ERBD procedure. Selective angiography with embolization for bleeding pseudoaneurysm can be an effective treatment for this situation.

Keyword

Aneurysm, false; Angiography; Cholecystectomy, laparoscopic; Hemobilia; Stents

MeSH Terms

Abdominal Pain
Aneurysm, False
Angiography
Arteries*
Cholangiopancreatography, Endoscopic Retrograde
Cholecystectomy, Laparoscopic
Common Bile Duct
Diagnosis
Drainage
Hemobilia*
Hemorrhage
Humans
Melena
Plastics*
Stents*
Plastics
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