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 (Author), Paraskevas Gkolfakis (Author), Arnaud Lemmers (Author), Vincent Huberty (Author), Thierry Degrez (Author), Jacques Devière (Author), Daniel Blero (Author)
Format: Book
Published: Korean Society of Gastrointestinal Endoscopy, 2023-07-01T00:00:00Z.
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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.
Item Description:2234-2400
2234-2443
10.5946/ce.2021.276