[Hemobilia into a metallic biliary stent due to pseudoaneurysm: a case report]

Nihon Shokakibyo Gakkai Zasshi. 2013 Dec;110(12):2127-35.
[Article in Japanese]

Abstract

A 48-year-old man with locally advanced pancreatic cancer underwent combined treatment with gemcitabine and proton radiation therapy. Because of subsequent obstruction of the common bile duct, a metallic biliary stent was placed and he received further gemcitabine chemotherapy. During chemotherapy, he developed an acute abdomen with a sudden-onset of tarry stool and jaundice. Gastroduodenoscopy revealed hemobilia from the biliary metallic stent. Contrast-enhanced abdominal computed tomography revealed the presence of a pseudoaneurysm arising from the right hepatic artery adjacent to the top of the stent. Hemostasis of the right hepatic artery pseudoaneurysm was achieved via transcatheter arterial embolization using cyanoacrylate.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Aneurysm, False / complications*
  • Chemoembolization, Therapeutic
  • Common Bile Duct Diseases / etiology
  • Common Bile Duct Diseases / therapy
  • Hemobilia / etiology*
  • Hemobilia / therapy
  • Hepatic Artery*
  • Humans
  • Male
  • Middle Aged
  • Pancreatic Neoplasms / therapy
  • Stents