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KMID : 1038120230560040521
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Clinical Endoscopy
2023 Volume.56 No. 4 p.521 ~ p.526
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Portal cavernography during endoscopic retrograde cholangiopancreatography: from bilhemia to hemobilia
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Rawad A. Yared
Paraskevas Gkolfakis
Arnaud Lemmers
Vincent Huberty
Thierry Degrez
Jacques Deviere
Daniel Blero
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Abstract
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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.
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KEYWORD
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Endoscopic retrograde cholangiopancreatography, Hemobilia, Portal cavernography, Portobiliary fistula
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