Oelsner William K, Laney James, Liao Kristie, Kahloon Arslan, Philips George
Department of Gastroenterology and Hepatology, University of Tennessee Health Science Center College of Medicine - Chattanooga, Chattanooga, USA.
Department of Internal Medicine, University of Tennessee Health Science Center College of Medicine - Chattanooga, Chattanooga, USA.
Cureus. 2025 May 1;17(5):e83312. doi: 10.7759/cureus.83312. eCollection 2025 May.
Hemobilia is a rare but potentially life-threatening condition that has traditionally been treated with biliary stent placement. However, this method is often inadequate for localizing bleeding and is prone to recurrence. Recently, advances in cholangioscopy have offered both direct visualization of hemobilia and expanded treatment modalities. Here, we propose a novel approach to identifying and treating recurrent post-surgical hemobilia using cholangioscopy in conjunction with dual radiofrequency ablation (RFA) and biliary stent placement in a 78-year-old man who developed a biliary leak, intrahepatic infection, and recurrent hemobilia after laparoscopic cholecystectomy.
胆道出血是一种罕见但可能危及生命的病症，传统上采用胆管支架置入术进行治疗。然而，这种方法往往不足以定位出血点，且易于复发。最近，胆管镜技术的进步既实现了对胆道出血的直接可视化，又拓展了治疗方式。在此，我们针对一名78岁男性患者提出了一种新的方法，该患者在腹腔镜胆囊切除术后出现胆漏、肝内感染和复发性胆道出血，采用胆管镜结合双频射频消融（RFA）及胆管支架置入术来识别和治疗复发性术后胆道出血。
