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KMID : 0870420170210020088
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
2017 Volume.21 No. 2 p.88 ~ p.92
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Hemobilia due to arteriobiliary fistula complicating ERCP for residual bile duct stone in a case of Mirizzi syndrome
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Mathur Surendrakumar
Thapar Vinaykumar
Chowda Vasudev
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Abstract
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Hemobilia is a rare cause of upper gastrointestinal tract bleeding. Most cases are iatrogenic following medical interventions, most commonly liver biopsy and transhepatic cholangiography. We present a case of arteriobiliary fistula between the right hepatic artery and the common hepatic duct, in a case of Mirrizi syndrome, following endoscopic biliary stenting and presenting with hemobilia. The patient was treated by surgical disconnection of the fistula, ligation of the right hepatic artery, and bilioenteric anastomosis.
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KEYWORD
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Gastrointestinal bleeding, Arteriography, Stenting, Cholelithiasis
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