Hemostasis using a covered self‐expandable metal stent for pseudoaneurysm bleeding from the perihilar bile duct
Abstract Although there are many reports of hemostasis with covered self‐expandable metal stent (CSEMS) for bleeding from the papilla of Vater and the intrapapillary and distal bile duct, there are rare reports of its use for hemostasis in the perihilar bile duct. We report the case of a patient und...
Saved in:
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-04-01
|
| Series: | DEN Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/deo2.150 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849726970443595776 |
|---|---|
| author | Yu Ishii Akihiro Nakayama Kazuo Kikuchi Kei Nakatani Kenichi Konda Daichi Mori Shigetoshi Nishihara Shu Oikawa Tomohiro Nomoto Tomono Usami Toshihiro Noguchi Yuta Mitsui Hitoshi Yoshida |
| author_facet | Yu Ishii Akihiro Nakayama Kazuo Kikuchi Kei Nakatani Kenichi Konda Daichi Mori Shigetoshi Nishihara Shu Oikawa Tomohiro Nomoto Tomono Usami Toshihiro Noguchi Yuta Mitsui Hitoshi Yoshida |
| author_sort | Yu Ishii |
| collection | DOAJ |
| description | Abstract Although there are many reports of hemostasis with covered self‐expandable metal stent (CSEMS) for bleeding from the papilla of Vater and the intrapapillary and distal bile duct, there are rare reports of its use for hemostasis in the perihilar bile duct. We report the case of a patient undergoing supportive care for perihilar cholangiocarcinoma with acute cholecystitis after side‐by‐side placement of uncovered SEMS for perihilar bile duct obstruction. Percutaneous transhepatic gallbladder aspiration was performed upon admission, and hematemesis occurred the next day. Since computed tomography scanning showed a pseudoaneurysm in the right uncovered SEMS, hemostasis by interventional radiology (IVR) was performed thrice for massive bleeding; however, hemostasis could not be achieved. When endoscopic retrograde cholangiopancreatography was performed for scrutiny and treatment of melena and increased hepatobiliary enzyme, the endoscopic visual field could not be secured by bleeding, and changes in hemodynamics were observed; thus, IVR was required, but it was difficult to perform. Since bleeding from the right bile duct was expected, hemostasis was performed using CSEMS. This is the first report of hemostasis performed by placing a covered SEMS for bleeding from a pseudoaneurysm of the intrahepatic bile duct. |
| format | Article |
| id | doaj-art-bf3fc218fbce4b12a06a94c475f3d9f2 |
| institution | DOAJ |
| issn | 2692-4609 |
| language | English |
| publishDate | 2023-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | DEN Open |
| spelling | doaj-art-bf3fc218fbce4b12a06a94c475f3d9f22025-08-20T03:10:01ZengWileyDEN Open2692-46092023-04-0131n/an/a10.1002/deo2.150Hemostasis using a covered self‐expandable metal stent for pseudoaneurysm bleeding from the perihilar bile ductYu Ishii0Akihiro Nakayama1Kazuo Kikuchi2Kei Nakatani3Kenichi Konda4Daichi Mori5Shigetoshi Nishihara6Shu Oikawa7Tomohiro Nomoto8Tomono Usami9Toshihiro Noguchi10Yuta Mitsui11Hitoshi Yoshida12Department of Medicine, Division of Gastroenterology Showa University School of Medicine Tokyo JapanDepartment of Medicine, Division of Gastroenterology Showa University School of Medicine Tokyo JapanDepartment of Medicine, Division of Gastroenterology Showa University School of Medicine Tokyo JapanDepartment of Medicine, Division of Gastroenterology Showa University School of Medicine Tokyo JapanDepartment of Medicine, Division of Gastroenterology Showa University School of Medicine Tokyo JapanDepartment of Medicine, Division of Gastroenterology Showa University School of Medicine Tokyo JapanDepartment of Medicine, Division of Gastroenterology Showa University School of Medicine Tokyo JapanDepartment of Medicine, Division of Gastroenterology Showa University School of Medicine Tokyo JapanKawasaki Kyodo Hospital Kanagawa JapanDepartment of Medicine, Division of Gastroenterology Showa University School of Medicine Tokyo JapanDepartment of Medicine, Division of Gastroenterology Showa University School of Medicine Tokyo JapanDepartment of Medicine, Division of Gastroenterology Showa University School of Medicine Tokyo JapanDepartment of Medicine, Division of Gastroenterology Showa University School of Medicine Tokyo JapanAbstract Although there are many reports of hemostasis with covered self‐expandable metal stent (CSEMS) for bleeding from the papilla of Vater and the intrapapillary and distal bile duct, there are rare reports of its use for hemostasis in the perihilar bile duct. We report the case of a patient undergoing supportive care for perihilar cholangiocarcinoma with acute cholecystitis after side‐by‐side placement of uncovered SEMS for perihilar bile duct obstruction. Percutaneous transhepatic gallbladder aspiration was performed upon admission, and hematemesis occurred the next day. Since computed tomography scanning showed a pseudoaneurysm in the right uncovered SEMS, hemostasis by interventional radiology (IVR) was performed thrice for massive bleeding; however, hemostasis could not be achieved. When endoscopic retrograde cholangiopancreatography was performed for scrutiny and treatment of melena and increased hepatobiliary enzyme, the endoscopic visual field could not be secured by bleeding, and changes in hemodynamics were observed; thus, IVR was required, but it was difficult to perform. Since bleeding from the right bile duct was expected, hemostasis was performed using CSEMS. This is the first report of hemostasis performed by placing a covered SEMS for bleeding from a pseudoaneurysm of the intrahepatic bile duct.https://doi.org/10.1002/deo2.150endoscopic retrograde cholangiopancreatographyhemobiliainterventional radiologymetal stentpseudoaneurysm |
| spellingShingle | Yu Ishii Akihiro Nakayama Kazuo Kikuchi Kei Nakatani Kenichi Konda Daichi Mori Shigetoshi Nishihara Shu Oikawa Tomohiro Nomoto Tomono Usami Toshihiro Noguchi Yuta Mitsui Hitoshi Yoshida Hemostasis using a covered self‐expandable metal stent for pseudoaneurysm bleeding from the perihilar bile duct DEN Open endoscopic retrograde cholangiopancreatography hemobilia interventional radiology metal stent pseudoaneurysm |
| title | Hemostasis using a covered self‐expandable metal stent for pseudoaneurysm bleeding from the perihilar bile duct |
| title_full | Hemostasis using a covered self‐expandable metal stent for pseudoaneurysm bleeding from the perihilar bile duct |
| title_fullStr | Hemostasis using a covered self‐expandable metal stent for pseudoaneurysm bleeding from the perihilar bile duct |
| title_full_unstemmed | Hemostasis using a covered self‐expandable metal stent for pseudoaneurysm bleeding from the perihilar bile duct |
| title_short | Hemostasis using a covered self‐expandable metal stent for pseudoaneurysm bleeding from the perihilar bile duct |
| title_sort | hemostasis using a covered self expandable metal stent for pseudoaneurysm bleeding from the perihilar bile duct |
| topic | endoscopic retrograde cholangiopancreatography hemobilia interventional radiology metal stent pseudoaneurysm |
| url | https://doi.org/10.1002/deo2.150 |
| work_keys_str_mv | AT yuishii hemostasisusingacoveredselfexpandablemetalstentforpseudoaneurysmbleedingfromtheperihilarbileduct AT akihironakayama hemostasisusingacoveredselfexpandablemetalstentforpseudoaneurysmbleedingfromtheperihilarbileduct AT kazuokikuchi hemostasisusingacoveredselfexpandablemetalstentforpseudoaneurysmbleedingfromtheperihilarbileduct AT keinakatani hemostasisusingacoveredselfexpandablemetalstentforpseudoaneurysmbleedingfromtheperihilarbileduct AT kenichikonda hemostasisusingacoveredselfexpandablemetalstentforpseudoaneurysmbleedingfromtheperihilarbileduct AT daichimori hemostasisusingacoveredselfexpandablemetalstentforpseudoaneurysmbleedingfromtheperihilarbileduct AT shigetoshinishihara hemostasisusingacoveredselfexpandablemetalstentforpseudoaneurysmbleedingfromtheperihilarbileduct AT shuoikawa hemostasisusingacoveredselfexpandablemetalstentforpseudoaneurysmbleedingfromtheperihilarbileduct AT tomohironomoto hemostasisusingacoveredselfexpandablemetalstentforpseudoaneurysmbleedingfromtheperihilarbileduct AT tomonousami hemostasisusingacoveredselfexpandablemetalstentforpseudoaneurysmbleedingfromtheperihilarbileduct AT toshihironoguchi hemostasisusingacoveredselfexpandablemetalstentforpseudoaneurysmbleedingfromtheperihilarbileduct AT yutamitsui hemostasisusingacoveredselfexpandablemetalstentforpseudoaneurysmbleedingfromtheperihilarbileduct AT hitoshiyoshida hemostasisusingacoveredselfexpandablemetalstentforpseudoaneurysmbleedingfromtheperihilarbileduct |