Hemobilia in hereditary hemorrhagic telangiectasia: an unusual complication of endoscopic retrograde cholangiopancreatography

Hepatobiliary manifestations of hereditary hemorrhagic telangiectasia (HHT) are rare, but often involve cholestasis. We report here a case of HHT associated with cholestasis due to common bile duct stenosis. Attempted balloon dilation of the stenosis during endoscopic retrograde cholangiopancreatogr...

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Published inEndoscopy Vol. 35; no. 6; p. 531
Main Authors Costa Macedo, T, Maldonado, R, Valente, A, Palma, R, Raimundo, M, Liberato, M, Távora, I, Alexandrino, P, Carneiro de Moura, M
Format Journal Article
LanguageEnglish
Published Germany 01.06.2003
Subjects
Catheterization - methods
Cholangiopancreatography, Endoscopic Retrograde - adverse effects
Cholangiopancreatography, Endoscopic Retrograde - methods
Drainage - methods
Hemobilia - etiology
Hemobilia - therapy
Humans
Male
Middle Aged
Telangiectasia, Hereditary Hemorrhagic - complications
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Summary:Hepatobiliary manifestations of hereditary hemorrhagic telangiectasia (HHT) are rare, but often involve cholestasis. We report here a case of HHT associated with cholestasis due to common bile duct stenosis. Attempted balloon dilation of the stenosis during endoscopic retrograde cholangiopancreatography (ERCP) resulted in hemobilia. Hemostasis was achieved by adjusting the nasobiliary drain. The aim of this report is to highlight the biliary manifestations of HHT and draw attention to an unusual complication of ERCP in this setting.
ISSN:0013-726X
DOI:10.1055/s-2003-39659