Haseeb Hafiz, Ullah Irfan, Ahmed Jamal, Zafar Mansoor
Gastroenterology, The Grange University Hospital, Cwmbran, GBR.
Gastroenterology and Hepatology, The Grange University Hospital, Cwmbran, GBR.
Cureus. 2024 Jul 9;16(7):e64178. doi: 10.7759/cureus.64178. eCollection 2024 Jul.
Endoscopic retrograde cholangiopancreatography (ERCP) remains the main therapeutic modality towards the management of common bile duct (CBD) stones and dilatation of strictures. It also has varied diagnostic roles including brush biopsy. The procedure still is associated with side effects and increased morbidity and mortality. One side effect is bleeding. This may be associated with procedural trauma or bleeding following post-traumatic pseudoaneurysm delayed-onset bleeding. Although it may be argued that inflammation surrounding the biliary duct area and in particular the pancreas could also contribute to the delayed bleeding along the ampullary region, we present a case of delayed pseudoaneurysm bleeding that was successfully managed post-ERCP via interventional radiology-guided embolization.
内镜逆行胰胆管造影术（ERCP）仍然是治疗胆总管（CBD）结石和狭窄扩张的主要治疗方式。它还具有多种诊断作用，包括刷检活检。该手术仍伴有副作用，且发病率和死亡率增加。其中一个副作用是出血。这可能与手术创伤或创伤后假性动脉瘤延迟出血后的出血有关。尽管有人认为胆管区域尤其是胰腺周围的炎症也可能导致壶腹区域的延迟出血，但我们报告了一例ERCP术后延迟性假性动脉瘤出血的病例，该病例通过介入放射学引导下的栓塞成功得到治疗。
