title: Delayed Severe Hemobilia after Endoscopic Biliary Plastic Stent Insertion.
abstract: Hemobilia is a rare gastrointestinal bleeding, usually caused by injury to the bile duct. Hemobilia after endoscopic retrograde cholangiopancreatography (ERCP) is generally self-limiting and patients will spontaneously recover, but some severe and fatal hemorrhages have been reported. ERCP-related bowel or bile duct perforation should be managed promptly, according to the type of injury and the status of the patient. We recently experienced a case of late-onset severe hemobilia in which the patient recovered after endoscopic biliary stent insertion. The problem was attributable to ERCP-related bile duct perforation during stone removal, approximately 5 weeks prior to the hemorrhagic episode. The removal of the stent was performed 10 days before the onset of hemobilia. The bleeding was successfully treated by two sessions of transarterial coil embolization.
authors.affiliation: Department of Internal Medicine, SAM Anyang Hospital, Anyang, Korea.
authors.forename: Sung Hak
authors.initials: SH
authors.lastname: Lee
authors.affiliation: Department of Internal Medicine, SAM Anyang Hospital, Anyang, Korea.
authors.forename: Seung Goun
authors.initials: SG
authors.lastname: Hong
authors.affiliation: Department of Internal Medicine, SAM Anyang Hospital, Anyang, Korea.
authors.forename: Kyoung Yong
authors.initials: KY
authors.lastname: Lee
authors.affiliation: Department of Internal Medicine, SAM Anyang Hospital, Anyang, Korea.
authors.forename: Pyung Kang
authors.initials: PK
authors.lastname: Park
authors.affiliation: Department of Internal Medicine, SAM Anyang Hospital, Anyang, Korea.
authors.forename: Sung Du
authors.initials: SD
authors.lastname: Kim
authors.affiliation: Department of Internal Medicine, SAM Anyang Hospital, Anyang, Korea.
authors.forename: Mahn
authors.initials: M
authors.lastname: Lee
authors.affiliation: Department of Internal Medicine, SAM Anyang Hospital, Anyang, Korea.
authors.forename: Dong Wook
authors.initials: DW
authors.lastname: Yu
authors.affiliation: Department of Internal Medicine, SAM Anyang Hospital, Anyang, Korea.
authors.forename: Man Yong
authors.initials: MY
authors.lastname: Hong
keywords: Cholangiopancreatography, endoscopic retrograde; Delayed; Hemobilia; Perforation; Stents