内镜逆行胰胆管造影术中的门静脉海绵样变：从双血行到胆道出血
Portal cavernography during endoscopic retrograde cholangiopancreatography: from bilhemia to hemobilia.
作者信息
Yared Rawad A, Gkolfakis Paraskevas, Lemmers Arnaud, Huberty Vincent, Degrez Thierry, Devière Jacques, Blero Daniel
机构信息
Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium.
Department of Gastroenterology and Digestive Oncology, Meuse and Sambre Regional Hospital Center, Namur, Belgium.
出版信息
Clin Endosc. 2023 Jul;56(4):521-526. doi: 10.5946/ce.2021.276. Epub 2023 Jan 5.
Portobiliary fistulas are rare but may lead to life-threatening complications. Biliary plastic stent-induced portobiliary fistulas during endoscopic retrograde cholangiopancreatography have been described. Herein, we present a case of portal cavernography and recurrent hemobilia after endoscopic retrograde cholangiopancreatography in which a portobiliary fistula was detected in a patient with portal biliopathy. This likely indicates a change in clinical presentation (from bilhemia to hemobilia) after biliary drainage that was successfully treated by placement of a fully covered, self-expandable metallic stent.
门静脉胆管瘘罕见，但可能导致危及生命的并发症。内镜逆行胰胆管造影术期间由胆道塑料支架引起的门静脉胆管瘘已有报道。在此，我们报告一例内镜逆行胰胆管造影术后门静脉海绵样变和复发性胆道出血的病例，该患者患有门静脉胆管病，检测到门静脉胆管瘘。这可能表明胆道引流后临床表现发生了变化（从胆汁血症变为胆道出血），通过放置全覆膜自膨式金属支架成功治疗。
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