Hemobilia due to porto-biliary fistula complicating endoscopic retrograde cholangiopancreatography after a recent liver transplantation.

Abstract

A 60-year-old woman with autoimmune hepatitis submitted to liver transplantation presented with a biliary anastomotic stenosis. An endoscopic retrograde cholangiopancreatography (ERCP) was complicated with a porto-biliary fistula due to the misplacement of a biliary stent. After multidisciplinary discussion, and the stent was endoscopically removed while a percutaneous transhepatic fully-covered self-expanded metal stent was placed in portal vein. Iatrogenic porto-biliary fistula following biliary stent placement is a rare and potentially life-threatening ERCP complication. In a suspected stent-related portal vein injury, this multidisciplinary strategy combining gastroenterology and radiology proved to be an effective and safe minimally invasive technique avoiding catastrophic consequences.

• Authors: Mafalda João, Marta Gravito-Soares, Elisa Gravito-Soares, Pedro Figueiredo
• Journal: Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva (Rev Esp Enferm Dig) Vol. 114 Issue 8 Pg. 502-503 (08 2022) ISSN: 1130-0108 [Print] Spain
• PMID: 35285661 (Publication Type: Case Reports, Letter)

Topics

• Biliary Fistula (diagnostic imaging, etiology, surgery)
• Cholangiopancreatography, Endoscopic Retrograde (adverse effects)
• Cholestasis (complications)
• Female
• Hemobilia (diagnostic imaging, etiology, therapy)
• Humans
• Liver Transplantation (adverse effects)
• Middle Aged
• Stents (adverse effects)