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KMID : 1103720150720050348
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Journal of the Korean Society of Radiology
2015 Volume.72 No. 5 p.348 ~ p.351
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Massive Hemobilia due to Hepatic Arteriobiliary Fistula during Endoscopic Retrograde Cholangiopancreatography: An Extremely Rare Guidewire-Related Complication
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Nam Jeong-Gu
Seo Young-Woo
Hwang Jae-Cheol
Weon Young-Cheol
Kang Byeong-Seong
Bang Sung-Jo
Bang Min-Seo
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Abstract
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Although endoscopic retrograde cholangiopancreatography (ERCP) is an effective modality for diagnosis and treatment of biliary and pancreatic diseases, the risk for procedure-related complications is high. Hemorrhage is one of major complications of ERCP. Most ERCP-associated bleeding is primarily a complication related to sphincterotomy rather than diagnostic ERCP. We are reporting a case of massive hemobilia due to hepatic arteriobiliary fistula caused by guidewire-associated injury during ERCP, which was successfully treated with transarterial embolization of the hepatic artery.
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KEYWORD
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Endoscopic Retrograde Cholangiopancreatography, Complication, Hepatic Arteriobiliary Fistula, Hemobilia, Embolization
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