Embolotherapy in massive post sphincterotomy bleed.
A 38-year-old female with obstructive jaundice underwent therapeutic ERCP. Minor self limiting bleed was observed from the ampulla during the procedure. Later she had massive bleed for which endoscopic therapy was not possible due to obscured vision of the ampulla. So immediate angiographic embolisation of the bleeding vessel using the available coronary hardware was performed and bleed was controlled. Embolotherapy is an attractive and safe therapeutic option for control of massive post-sphincterotomy bleed.
Mohan
Bishav
B
Hero DMC Heart Institute, Unit-DMC and Hospital, Tagore Nagar, Ludhiana, Punjab.
Sidhu
Sandeep Singh
SS
Goyal
Omesh
O
Goyal
Prerna
P
Wander
G S
GS
D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002769:Cholelithiasis / Q000000981:diagnostic imaging / Q000601:surgery*; D003135:Common Bile Duct / Q000503:physiopathology; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D019106:Postoperative Hemorrhage / Q000628:therapy*; D016717:Sphincterotomy, Endoscopic / Q000009:adverse effects*; D016896:Treatment Outcome