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KMID : 1048120170060020148
International Journal of Gastrointestinal Intervention
2017 Volume.6 No. 2 p.148 ~ p.150
Pancreaticoduodenal artery pseudoaneurysm-induced hemobilia caused by a plastic biliary stent
Kim Hong-Joo

Abstract
Summary of Event: Melena with abdominal pain were developed in a patient who had undergone endoscopic retrograde cholangiopancreatography (ERCP) with common bile duct stones removal and endoscopic retrograde biliary drainage (ERBD) using a plastic biliary stent. He subsequently underwent laparoscopic cholecystectomy. For the diagnosis and treatment of hemobilia caused by a plastic biliary stent, selective angiography for gastroduodenal artery with subsequent embolization for small pseudoaneurysm of pancreaticoduodenal artery was done successfully.

Teaching Point: A plastic biliary stent induced pseudoaneurysm can be a cause of hemobilia after ERCP with ERBD procedure. Selective angiography with embolization for bleeding pseudoaneurysm can be an effective treatment for this situation.
KEYWORD
Aneurysm, false, Angiography, Cholecystectomy, laparoscopic, Hemobilia, Stents
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