Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
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Portal cavernography during endoscopic retrograde cholangiopancreatography: from bilhemia to hemobilia

  • Rawad A. Yared (Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme University Hospital, Universite Libre de Bruxelles) ;
  • Paraskevas Gkolfakis (Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme University Hospital, Universite Libre de Bruxelles) ;
  • Arnaud Lemmers (Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme University Hospital, Universite Libre de Bruxelles) ;
  • Vincent Huberty (Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme University Hospital, Universite Libre de Bruxelles) ;
  • Thierry Degrez (Department of Gastroenterology and Digestive Oncology, Meuse and Sambre Regional Hospital Center) ;
  • Jacques Deviere (Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme University Hospital, Universite Libre de Bruxelles) ;
  • Daniel Blero (Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme University Hospital, Universite Libre de Bruxelles)
  • Received : 2021.11.08
  • Accepted : 2022.01.18
  • Published : 2023.07.30
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Abstract

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.

Keywords

Acknowledgement

The authors would like to acknowledge the contribution of the medical writer Sandy Field, Ph.D., for editing this manuscript.

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