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  • Title: Late-onset severe biliary bleeding after endoscopic pigtail plastic stent insertion.
    Author: Yasuda M, Sato H, Koyama Y, Sakakida T, Kawakami T, Nishimura T, Fujii H, Nakatsugawa Y, Yamada S, Tomatsuri N, Okuyama Y, Kimura H, Ito T, Morishita H, Yoshida N.
    Journal: World J Gastroenterol; 2017 Jan 28; 23(4):735-739. PubMed ID: 28216982.
    Abstract:
    Here, we report our experience with a case of severe biliary bleeding due to a hepatic arterial pseudoaneurysm that had developed 1 year after endoscopic biliary plastic stent insertion. The patient, a 78-year-old woman, presented with hematemesis and obstructive jaundice. Ruptured hepatic arterial pseudoaneurysm was diagnosed, which was suspected to have been caused by long-term placement of an endoscopic retrograde biliary drainage (ERBD) stent. This episode of biliary bleeding was successfully treated by transarterial embolization (TAE). Pseudoaneurysm leading to hemobilia is a rare but potentially fatal complication in patients with long-term placement of ERBD. TAE is a minimally invasive procedure that offers effective treatment for biliary bleeding.
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