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KMID : 0985520150200020099
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Korean Journal of Pancreas and Biliary Tract
2015 Volume.20 No. 2 p.99 ~ p.104
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Life-threatening Hemobilia following Removal of a Biliary Stent in a Patient with a Bile Leak
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Park Byung-Joon
Lee Tae-Hoon
Park Sang-Heum
Jang Young-Hwan
Kwak Yun-Mi
Lee Woong-Hee
Bae Sang-Ho
Kim Chang-Ho
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Abstract
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Biliary plastic stent induced life-threatening hemobilia is very rare. In this case, hemobilia seriously worsened following removal of a biliary stent, which had been placed for treatment of a postoperative bile leak in a patient who had undergone lateral liver segmentectomy for abdominal trauma. Following placement of the biliary stent, the bile leak improved, but hemobilia and cholangitis developed five days later. To manage the stent malfunction, we removed the biliary stent. However, life-threatening hemobilia developed immediately after removal. Endoscopic hemostasis was impossible; therefore, emergency angiographic embolization and stent graft were performed successfully. In such cases, angiographic embolization and stentgraft placement are effective diagnostic and therapeutic alternatives. When a patient develops hemobilia or cholangitis after biliary stent placement, endoscopists should pay special attention to remove the stent, which might exacerbate hemobilia.
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KEYWORD
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Bile leak, Hemobilia, Biliary stent, Angiography
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