title: Bleeding after endoscopic biliary sphincterotomy.
abstract: Bleeding during endoscopic sphincterotomy is a common complication. Sometimes bleeding occurs as a late complication after endoscopic retrograde cholangiopancreatography (ERCP). We describe a case in which bleeding happened during ERCP but detection was done after the completion of the procedure. The detection of bleeding allowed further evaluation and detection of hemobilia in this case. The removal of blood clots from inside common bile duct by repeat ERCP however led to an uneventful recovery without any morbidity.
authors.affiliation: Gastroenterologist, Director, Department of Gastroenterology, Jaswant Rai Speciality Hospital, Saket, Meerut, Uttar Pradesh, India.
authors.forename: Malay
authors.initials: M
authors.lastname: Sharma
keywords: CBD, common bile duct; CHA, common hepatic artery; CyA, cystic artery; ERCP, endoscopic retrograde cholangiopancreatography; Endoscopy; GDA, gastroduodenal artery; GT, gastrocolic trunk; HAP, hepatic artery proper; INR, international normalized ratio; LGV, left gastric vein; LHA, left hepatic artery; PSPD, posterior superior pancreaticoduodenal artery; PV, portal vein; RGV, right gastric vein; RHA, right hepatic artery; SMV, superior mesenteric vein; SV, splenic vein; hemobilia; sphincterotomy