Sharma Malay
Gastroenterologist, Director, Department of Gastroenterology, Jaswant Rai Speciality Hospital, Saket, Meerut, Uttar Pradesh, India.
J Clin Exp Hepatol. 2011 Jun;1(1):45-7. doi: 10.1016/S0973-6883(11)60117-5. Epub 2011 Aug 26.
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.
内镜括约肌切开术期间出血是一种常见并发症。有时出血会作为内镜逆行胰胆管造影术(ERCP)后的晚期并发症出现。我们描述了一例在ERCP期间发生出血但在手术完成后才被发现的病例。在该病例中,出血的发现使得能够进一步评估并检测到胆道出血。然而,通过重复ERCP清除胆总管内的血凝块后,患者顺利康复,未出现任何并发症。