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- Title
Successful Hemostasis Using Fully Covered Self-Expanding Metallic Stent for Spontaneous Hemobilia in a Child With Portal Cavernoma Cholangiopathy.
- Authors
Samanta, Arghya; Srivastava, Anshu; Mohindra, Samir; Yadav, Rajanikant; Poddar, Ujjal; Sarma, Moinak Sen; Kumar, Basant
- Abstract
Portal cavernoma cholangiopathy refers to changes in the intrahepatic and extrahepatic biliary ducts in patients with extrahepatic portal venous obstruction. Spontaneous hemobilia in the setting of portal cavernoma cholangiopathy is extremely rare, and it poses diagnostic as well as therapeutic challenge. Here, we report the case of a 10-year-old girl with extrahepatic portal venous obstruction, who presented with hemobilia. Computed tomography angiography of abdomen and endoscopic ultrasound confirmed the presence of pericholedochal, paracholedochal, and intracholedochal varices. Hemostasis was achieved with the placement of a fully covered self-expanding metallic stent into the common bile duct. Fully covered self-expanding metallic stent is safe and effective for control of bleeding in children presenting with hemobilia.
- Subjects
ULTRASONIC imaging of the abdomen; PORTAL vein; GASTROINTESTINAL hemorrhage; ESOPHAGEAL varices; STENOSIS; BLOOD vessels; COMPUTED tomography; SURGICAL stents; TREATMENT effectiveness; ENDOSCOPIC gastrointestinal surgery; HEMOSTASIS; BILE ducts; ABDOMINAL radiography
- Publication
ACG Case Reports Journal, 2024, Vol 11, Issue 8, p1
- ISSN
2326-3253
- Publication type
Article
- DOI
10.14309/crj.0000000000001473