[Pain and jaundice secondary to hemobilia resolved by ERCP and endoscopic sphincterectomy].
We report the case of a patient with hemobilia resulting from a liver biopsy where the performance of the endoscopic sphincterectomy solved the jaundice and the pain of the patient. ERCP has been used previously in the diagnosis of biliary and pancreatic tumors that manifested themselves as an hemobilia. The therapeutic utilization of endoscopic sphincterotomy had been described rarely in this type of bleedings. We recommend endoscopic retrograde cholangiopancreatography and sphincterotomy in the cases of hemobilia with severe abdominal pain resulting from the accumulation of clots inside the biliary tract.
Defarges
V
V
Servicio de Endoscopias, Clínica Moncloa, Madrid.
Loscos
J M
JM
Meroño
E
E
Fernández Madrid
J
J
Carda
P
P
D015746:Abdominal Pain / Q000209:etiology*; D001706:Biopsy / Q000009:adverse effects; D002760:Cholangiopancreatography, Endoscopic Retrograde; D004724:Endoscopy; D006431:Hemobilia / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007565:Jaundice / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008099:Liver / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009803:Sphincter of Oddi / Q000601:surgery*
Dolor e ictericia secundario a hemobilia resuelto mediante CPRE y esfinterectomía endoscópica.