We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
BLEEDING CAUSING BILIARY OBSTRUCTION AFTER ENDOSCOPIC SPHINCTEROTOMY.
- Authors
Mosenkis, Bruce N.; Brandt, Lawrence J.
- Abstract
A 68-yr-old woman who had had a cholecystectomy and endoscopic sphincterotomy developed recurrent common bile duct obstruction. She had another ERCP with extension of the site of endoscopic sphincterotomy, and 3 days later biliary obstruction again developed, this time from a blood clot filling the common bile duct. The clot was removed by Fogarty technique, and the duct was irrigated with heparin; the obstruction resolved. Minor hemobilia (biliary tract hemorrhage without overt GI bleeding) may be confused with choledocholithiasis. When biliary obstruction follows endoscopic sphincterotomy. attempts at flushing the duct should precede empiric maneuvers for stone removal.
- Subjects
CHOLECYSTECTOMY; BILIOUS diseases &; biliousness; BILIARY tract; HEMORRHAGE; ANTICOAGULANTS; GASTROINTESTINAL diseases
- Publication
American Journal of Gastroenterology (Springer Nature), 1997, Vol 92, Issue 4, p708
- ISSN
0002-9270
- Publication type
Article