Year 2022 / Volume 114 / Number 8
Letter
Hemobilia due to porto-biliary fistula complicating endoscopic retrograde cholangiopancreatography after a recent liver transplantation

502-503

DOI: 10.17235/reed.2022.8769/2022

Mafalda João, Marta Gravito-Soares, Elisa Gravito-Soares, Pedro Figueiredo,

Abstract
A 60-year-old woman with autoimmune hepatitis submitted to liver transplantation presented with a biliary anastomotic stenosis. An endoscopic retrograde cholangiopancreatography (ERCP) was complicated with a porto-biliary fistula due to the misplacement of a biliary stent. After multidisciplinary discussion, and the stent was endoscopically removed while a percutaneous transhepatic fully-covered self-expanded metal stent was placed in portal vein. Iatrogenic porto-biliary fistula following biliary stent placement is a rare and potentially life-threatening ERCP complication. In a suspected stent-related portal vein injury, this multidisciplinary strategy combining gastroenterology and radiology proved to be an effective and safe minimally invasive technique avoiding catastrophic consequences.
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References
Dumonceau JM, Tringali A, Papanikolaou IS, Blero D, Mangiavillano B, Schmidt A, et al. Endoscopic biliary stenting: indications, choice of stents, and results: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline - Updated October 2017. Endoscopy. 2018;50(9):910-30.
Russo SM, Patel S, Abubakar I, Kahloon A, Kessler S, Lambiase L. Iatrogenic Portal Vein Injury During Biliary Stent Placement: 2065. Official journal of the American College of Gastroenterology | ACG. 2017;112:S1137.
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Miloudi N, Hefaiedh R, Mzoughi Z, Ben Abid S, Mestiri H, Ghorbel A, et al. Accidental insertion of biliary endoprosthesis in the portal vein: a case report. Clin Res Hepatol Gastroenterol. 2011;35(2):144-7.
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Citation tools
João M, Gravito-Soares M, Gravito-Soares E, Figueiredo P. Hemobilia due to porto-biliary fistula complicating endoscopic retrograde cholangiopancreatography after a recent liver transplantation. 8769/2022


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Publication history

Received: 03/03/2022

Accepted: 07/03/2022

Online First: 14/03/2022

Published: 27/07/2022

Article Online First time: 11 days

Article editing time: 146 days


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