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
Published in:Clinical endoscopy 2023-07, Vol.56 (4), p.521-526
Main Authors: Yared, Rawad A, Gkolfakis, Paraskevas, Lemmers, Arnaud, Huberty, Vincent, Degrez, Thierry, Devière, Jacques, Blero, Daniel
Format: Article
Language:English
Subjects:
Case Report
endoscopic retrograde cholangiopancreatography
hemobilia
portal cavernography
portobiliary fistula
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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
DOI:10.5946/ce.2021.276