The benefit of emergency nasobiliary drain in cholelithiasis with ascending cholangitis, coagulopathy, and thrombocytopenia.
Severe coagulopathy in a male patient with septicemia, renal failure, and obstructive jaundice secondary to cholelithiasis precluded safe endoscopic sphincterotomy. A temporary nasobiliary drain, inserted at endoscopic retrograde cholangiopancreatography, decompressed the biliary tree, allowing eventual safe sphincterotomy and bile duct clearance after correction of coagulopathy and improvement in his clinical condition.
D001778:Blood Coagulation Disorders / Q000150:complications / Q000601:surgery*; D002761:Cholangitis / Q000150:complications / Q000601:surgery*; D002769:Cholelithiasis / Q000150:complications / Q000601:surgery*; D003135:Common Bile Duct / Q000601:surgery; D004322:Drainage; D004724:Endoscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D013921:Thrombocytopenia / Q000150:complications / Q000601:surgery*