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. 2020 Sep 30;6(1):24-26.
doi: 10.1016/j.vgie.2020.08.009. eCollection 2021 Jan.

Endoscopic tamponade using a fully covered self-expandable metallic stent for massive biliary bleeding from a pseudoaneurysm rupture during metallic stent removal

Nao Fujimori  1 , Kazuhide Matsumoto  1 , Masatoshi Murakami  1 , Yuta Suehiro  1 , Takamasa Oono  1
Affiliations

Endoscopic tamponade using a fully covered self-expandable metallic stent for massive biliary bleeding from a pseudoaneurysm rupture during metallic stent removal

Nao Fujimori et al. VideoGIE. .
No abstract available

Keywords: CT, computed tomography; SEMS, self-expandable metallic stent; TAE, transcatheter arterial embolization.

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Figures

Figure 1
Figure 1
A, Abdominal CT shows a fully covered self-expandable metallic stent (SEMS, arrowhead) in the bile duct and a plastic stent (arrow) in the gallbladder. No biliary bleeding or pseudoaneurysm was observed. B, The endoscopic view shows SEMS occlusion by biliary sludge. We inserted an 8.5F plastic stent into the SEMS to resolve cholangitis.
Figure 2
Figure 2
A, The CT shows a 2-cm pseudoaneurysm (arrow) arising from a branch of gastroduodenal or proper hepatic arteries and located in a tumor of the pancreas that was not evident 2 weeks earlier. B, The pseudoaneurysm was just adjacent to the biliary self-expandable metallic stent.
Figure 3
Figure 3
Angiography showing a pseudoaneurysm (arrowhead) of the gastroduodenal artery (A), which was successfully treated with coil embolization (B).
See this image and copyright information in PMC

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