Mohan Bishav, Sidhu Sandeep Singh, Goyal Omesh, Goyal Prerna, Wander G S
Hero DMC Heart Institute, Unit-DMC and Hospital, Tagore Nagar, Ludhiana, Punjab.
J Assoc Physicians India. 2010 Jan;58:47-8.
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.