经内镜逆行胰胆管造影术（ERCP）后危及生命的胆道出血。

Life threatening hemobilia after endoscopic retrograde cholangiopancreatography (ERCP).

机构信息

Department of Internal Medicine, Division of Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, IN, United States.

出版信息

Dig Liver Dis. 2017 Dec;49(12):1336-1337. doi: 10.1016/j.dld.2017.09.001. Epub 2017 Sep 11.

DOI:10.1016/j.dld.2017.09.001

PMID:28958788

Abstract

Arterial vascular complication from endoscopic retrograde cholangiopancreatography (ERCP) is exceedingly rare. This report describes a life threatening hemobilia, from a pseudoaneurysm of the right hepatic artery (RHA), which occurred post ERCP. The pseudoaneurysm and the active bleed were diagnosed by selective angiography of the RHA, and successfully treated with stenting.

摘要

经内镜逆行胰胆管造影术（ERCP）引起的动脉血管并发症极为罕见。本报告描述了一例 ERCP 术后发生的危及生命的肝动脉假性动脉瘤导致的血胆症。通过对右肝动脉（RHA）的选择性血管造影诊断出假性动脉瘤和活动性出血，并成功地进行了支架治疗。