Hyperbilirubinemia induced by endoscopic variceal ligation for esophageal varices in a patient with primary biliary cirrhosis: a case report.
We describe the case of a 51-year-old woman with primary biliary cirrhosis who developed hyperbilirubinemia with transient liver dysfunction after undergoing endoscopic variceral ligation to control hemorrhaging from esophageal varices. After undergoing a variceal ligation, the serum total bilirubin increased from 4.0 mg/dL to 9.5 mg/dL, and the degree of liver failure worsened. She finally had to undergo a liver transplant. We discuss the mechanism of hyperbilirubinemia after endoscopic variceal ligation.
Akahoshi
T
T
Department of Surgery II, Faculty of Medicine, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812, Japan.
Hashizume
M
M
Tanoue
K
K
Morita
M
M
Tomikawa
M
M
Sugimachi
K
K
D004724:Endoscopy / Q000009:adverse effects*; D004932:Esophageal and Gastric Varices / Q000150:complications* / Q000601:surgery*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000150:complications* / Q000601:surgery*; D006801:Humans; D006932:Hyperbilirubinemia / Q000209:etiology*; D008026:Ligation; D008105:Liver Cirrhosis, Biliary / Q000150:complications*; D008875:Middle Aged