Portal Hypertensive Biliopathy Presents with Massive Bleeding during ERCP after Balloon Sphincteroplasty in a Noncirrhotic Saudi Sickler Patient

Portal hypertensive biliopathy (PHB) is described as abnormalities of the walls of the biliary tree secondary to portal hypertension. Gastrointestinal bleeding caused by PHB is rare. PHB as a cause of serious bleeding after sphincteroplasty during ERCP is extremely rare. Here, we report a case of PH...

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Main Authors: Ahmad M. Al-Akwaa, Mohammed Elsadig, Ahmed E. Al-Fayaa, Mohja D. Al-Shehri
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2017/4163919
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author Ahmad M. Al-Akwaa
Mohammed Elsadig
Ahmed E. Al-Fayaa
Mohja D. Al-Shehri
author_facet Ahmad M. Al-Akwaa
Mohammed Elsadig
Ahmed E. Al-Fayaa
Mohja D. Al-Shehri
author_sort Ahmad M. Al-Akwaa
collection DOAJ
description Portal hypertensive biliopathy (PHB) is described as abnormalities of the walls of the biliary tree secondary to portal hypertension. Gastrointestinal bleeding caused by PHB is rare. PHB as a cause of serious bleeding after sphincteroplasty during ERCP is extremely rare. Here, we report a case of PHB in a young Saudi male with cell sickle anemia who developed massive hemorrhage during ERCP after balloon dilation of the ampulla of Vater. We further discussed the diagnosis and management. To the best of our knowledge, no such case has been reported.
format Article
id doaj-art-1786badf722c4fdca5cb1bc92f4b12ce
institution Kabale University
issn 1687-9627
1687-9635
language English
publishDate 2017-01-01
publisher Wiley
record_format Article
series Case Reports in Medicine
spelling doaj-art-1786badf722c4fdca5cb1bc92f4b12ce2025-08-20T03:54:20ZengWileyCase Reports in Medicine1687-96271687-96352017-01-01201710.1155/2017/41639194163919Portal Hypertensive Biliopathy Presents with Massive Bleeding during ERCP after Balloon Sphincteroplasty in a Noncirrhotic Saudi Sickler PatientAhmad M. Al-Akwaa0Mohammed Elsadig1Ahmed E. Al-Fayaa2Mohja D. Al-Shehri3Gastroenterology Division, Department of Medicine, King Abdulaziz Hospital, Al Hasa, Saudi ArabiaGastroenterology Division, Department of Medicine, King Abdulaziz Hospital, Al Hasa, Saudi ArabiaGastroenterology Division, Department of Medicine, King Abdulaziz Hospital, Al Hasa, Saudi ArabiaGastroenterology Division, Department of Medicine, King Abdulaziz Hospital, Al Hasa, Saudi ArabiaPortal hypertensive biliopathy (PHB) is described as abnormalities of the walls of the biliary tree secondary to portal hypertension. Gastrointestinal bleeding caused by PHB is rare. PHB as a cause of serious bleeding after sphincteroplasty during ERCP is extremely rare. Here, we report a case of PHB in a young Saudi male with cell sickle anemia who developed massive hemorrhage during ERCP after balloon dilation of the ampulla of Vater. We further discussed the diagnosis and management. To the best of our knowledge, no such case has been reported.http://dx.doi.org/10.1155/2017/4163919
spellingShingle Ahmad M. Al-Akwaa
Mohammed Elsadig
Ahmed E. Al-Fayaa
Mohja D. Al-Shehri
Portal Hypertensive Biliopathy Presents with Massive Bleeding during ERCP after Balloon Sphincteroplasty in a Noncirrhotic Saudi Sickler Patient
Case Reports in Medicine
title Portal Hypertensive Biliopathy Presents with Massive Bleeding during ERCP after Balloon Sphincteroplasty in a Noncirrhotic Saudi Sickler Patient
title_full Portal Hypertensive Biliopathy Presents with Massive Bleeding during ERCP after Balloon Sphincteroplasty in a Noncirrhotic Saudi Sickler Patient
title_fullStr Portal Hypertensive Biliopathy Presents with Massive Bleeding during ERCP after Balloon Sphincteroplasty in a Noncirrhotic Saudi Sickler Patient
title_full_unstemmed Portal Hypertensive Biliopathy Presents with Massive Bleeding during ERCP after Balloon Sphincteroplasty in a Noncirrhotic Saudi Sickler Patient
title_short Portal Hypertensive Biliopathy Presents with Massive Bleeding during ERCP after Balloon Sphincteroplasty in a Noncirrhotic Saudi Sickler Patient
title_sort portal hypertensive biliopathy presents with massive bleeding during ercp after balloon sphincteroplasty in a noncirrhotic saudi sickler patient
url http://dx.doi.org/10.1155/2017/4163919
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