담즙 누출 환자에 삽입된 담도 스텐트 제거 후 발생한 대량의 혈액담즙증 1예
- Alternative Title
- Life-threatening Hemobilia following Removal of a Biliary Stent in a Patient with a Bile Leak
- Abstract
- Biliary plastic stent induced life-threatening hemobilia is very rare. In this case, hemobilia seriously worsened following removal of a biliary stent, which had been placed for treatment of a postoperative bile leak in a patient who had undergone lateral liver segmentectomy for abdominal trauma. Following placement of the biliary stent, the bile leak improved, but hemobilia and cholangitis developed five days later. To manage the stent malfunction, we removed the biliary stent. However, life-threatening hemobilia developed immediately after removal. Endoscopic hemostasis was impossible; therefore, emergency angiographic embolization and stent graft were performed successfully. In such cases, angiographic embolization and stent-graft placement are effective diagnostic and therapeutic alternatives. When a patient develops hemobilia or cholangitis after biliary stent placement, endoscopists should pay special attention to remove the stent, which might exacerbate hemobilia.
- All Author(s)
- B. J. Park
; T. H. Lee
; S. H. Park
; Y. W. Jang
; Y. M. Kwak
; W. H. Lee
; S. H. Bae
; C. H. Kim
- Issued Date
- 2015
- Type
- Article
- Keyword
- Bile leak; Hemobilia; Biliary stent; Angiography
- Publisher
- 대한췌장담도학회
Korean Pancreatobiliary Association
- ISSN
- 1976-3573
; 2288-0941
- Citation Title
- Korean journal of pancreas and biliary tract
- Citation Volume
- 20
- Citation Number
- 2
- Citation Start Page
- 99
- Citation End Page
- 104
- Language(ISO)
- kor
- DOI
- 10.15279/kpba.2015.20.2.99
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/2944
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