An unusual cause of haemobilia - beware the forgotten stent!

Frost, Andrei; Mb, Taylor; Parks, Rowan W.

doi:10.1111/j.1742-1241.2006.00943.x

Cited by 3 publications

(2 citation statements)

References 10 publications

(10 reference statements)

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“…8,9 There have been reports of perforation of hollow viscous including duodenum, 10, 11 jejunum, 12 and sigmoid colon. 12 Other reported complications of CBD stents include hemobilia, 13 cholangitis, 14 and stent fracture. 15 We report an addition to the list of complications -stent erosion of CBD.…”

Section: Discussionmentioning

confidence: 98%

An Unusual Complication Encountered Incidentally at Laparoscopic Cholecystectomy: A Case Series

Uzzaman

Nair

Myint

2010

Journal of Gastrointestinal Surgery

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Section: Discussionmentioning

confidence: 98%

An Unusual Complication Encountered Incidentally at Laparoscopic Cholecystectomy: A Case Series

Uzzaman

Nair

Myint

2010

Journal of Gastrointestinal Surgery

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“…Stents retained for more than 12 months are termed forgotten biliary stents (FBSs), and result in complications such as stent occlusion, migration, cholangitis, and perforation [2,3]. Other complications-such as diarrhoea, haemobilia, and giant stentoliths-are also encountered, albeit rarely [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Biliary stents are forgotten more frequently in elderly patients

Duman¹,

Yılmaz²,

Hülagü³

2021

Turk J Med Sci

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Massive hemobilia following plastic stent removal in common bile duct cancer associated with primary sclerosing cholangitis (with video)

Miyamoto

Tanaka

Nakamura

et al. 2018

Clin J Gastroenterol

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Hemobilia is defined as bleeding into the biliary tract. Herein, we report a very rare case of massive hemobilia following plastic stent (PS) removal in common bile duct (CBD) cancer. A 72-year-old man with primary sclerosing cholangitis had undergone repeated insertion of a PS into the CBD. Biliary tract biopsy was performed based on suspicion of combined CBD cancer. Biopsy revealed poorly differentiated adenocarcinoma of the CBD. One month after the biliary tract biopsy, he was admitted for acute cholangitis, and endoscopic retrograde cholangiography was performed for the exchange of the PS. When one of the two biliary PSs was removed, spurting bleeding from the major papilla began abruptly. The massive bleeding caused the patient to be in a pre-shock state. A retrieval balloon catheter was compressed against the papilla for hemostasis. Although he was treated conservatively, the patient developed a bloody discharge. Upper gastrointestinal endoscopy revealed that the pulsatile bleeding beside the PSs started immediately after the removal of the coagula. Emergent contrast-enhanced computed tomography showed right hepatic artery aneurysm across the CBD. Therefore, transarterial embolization was performed. The patient's post-therapeutic course was uneventful. He received chemotherapy, but died about a half year after hemobilia occurred.

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An unusual cause of haemobilia - beware the forgotten stent!

Cited by 3 publications

References 10 publications

An Unusual Complication Encountered Incidentally at Laparoscopic Cholecystectomy: A Case Series

An Unusual Complication Encountered Incidentally at Laparoscopic Cholecystectomy: A Case Series

Biliary stents are forgotten more frequently in elderly patients

Massive hemobilia following plastic stent removal in common bile duct cancer associated with primary sclerosing cholangitis (with video)

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