Non-operative management of endoscopic iatrogenic haemobilia: case report and review of literature
| Journal | Volume 68 - 2005 |
| Issue | Fasc.4 - Case reports |
| Author(s) | W. T. Siu, C. H. Chau, B. Ka Bo Law, K. K.Yau, Y. W. Luk, M. KaWah Li |
| Full article |
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| Combined Endoscopy Unit, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong, * Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N.T., Hong Kong. |
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Haemobilia denotes an abnormal communication between a vessel of the splanchnic circulation and the biliary system. Patients typically presents with the triad of abdominal pain, upper gastrointestinal haemorrhage, and jaundice. Common causes for haemobilia are iatrogenic causes secondary to hepatobiliary system instrumentation and trauma. Management of patients with haemodynamic significant haemobilia is aimed at stopping bleed- ing, maintaining continuous flow of biliary system, and cure of the underlying aetiology. Iatrogenic haemobilia after ERCP poly- ethylene biliary endoprosthesis placement is extremely uncom- mon. Herein we present a case of iatrogenic haemobilia triggered by biliary endoprosthesis placement and was successfully man- aged by non-operative treatment. The management algorithm for a rational approach to haemobilia is discussed (Acta gastroenterol. belg., 2005, 68, 428-431). |
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© Acta Gastro-Enterologica Belgica. |
