Defarges V, Loscos J M, Meroño E, Fernández Madrid J, Carda P
Servicio de Endoscopias, Clínica Moncloa, Madrid.
Rev Esp Enferm Dig. 1996 Jun;88(6):443-5.
We report the case of a patient with hemobilia resulting from a liver biopsy where the performance of the endoscopic sphincterectomy solved the jaundice and the pain of the patient. ERCP has been used previously in the diagnosis of biliary and pancreatic tumors that manifested themselves as an hemobilia. The therapeutic utilization of endoscopic sphincterotomy had been described rarely in this type of bleedings. We recommend endoscopic retrograde cholangiopancreatography and sphincterotomy in the cases of hemobilia with severe abdominal pain resulting from the accumulation of clots inside the biliary tract.
我们报告了一例因肝活检导致胆道出血的患者病例,内镜括约肌切除术解决了患者的黄疸和疼痛问题。此前,内镜逆行胰胆管造影术(ERCP)已用于诊断表现为胆道出血的胆胰肿瘤。内镜括约肌切开术在这类出血中的治疗应用鲜有报道。对于因胆道内血凝块积聚导致严重腹痛的胆道出血病例,我们建议采用内镜逆行胰胆管造影术和括约肌切开术。