KMID : 1048120170060020148
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International Journal of Gastrointestinal Intervention 2017 Volume.6 No. 2 p.148 ~ p.150
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Pancreaticoduodenal artery pseudoaneurysm-induced hemobilia caused by a plastic biliary stent
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Kim Hong-Joo
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Abstract
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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.
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KEYWORD
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Aneurysm, false, Angiography, Cholecystectomy, laparoscopic, Hemobilia, Stents
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