Pain and jaundice secondary to hemobilia resolved by ERCP and endoscopic sphincterectomy

We report the case of a patient with hemobilia resulting from a liver biopsy where the performance of the endoscopic sphincterectomy solved the jaundice and the pain of the patient. ERCP has been used previously in the diagnosis of biliary and pancreatic tumors that manifested themselves as an hemob...

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Published in:	Revista española de enfermedades digestivas Vol. 88; no. 6; p. 443
Main Authors:	Defarges, V, Loscos, J M, Meroño, E, Fernández Madrid, J, Carda, P
Format:	Journal Article
Language:	Spanish
Published:	Spain 01-06-1996
Subjects:	Abdominal Pain - etiology Biopsy - adverse effects Cholangiopancreatography, Endoscopic Retrograde Endoscopy Hemobilia - complications Hemobilia - diagnosis Hemobilia - surgery Humans Jaundice - diagnosis Jaundice - etiology Jaundice - surgery Liver - pathology Male Middle Aged Sphincter of Oddi - surgery
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Abstract	We report the case of a patient with hemobilia resulting from a liver biopsy where the performance of the endoscopic sphincterectomy solved the jaundice and the pain of the patient. ERCP has been used previously in the diagnosis of biliary and pancreatic tumors that manifested themselves as an hemobilia. The therapeutic utilization of endoscopic sphincterotomy had been described rarely in this type of bleedings. We recommend endoscopic retrograde cholangiopancreatography and sphincterotomy in the cases of hemobilia with severe abdominal pain resulting from the accumulation of clots inside the biliary tract.
AbstractList	We report the case of a patient with hemobilia resulting from a liver biopsy where the performance of the endoscopic sphincterectomy solved the jaundice and the pain of the patient. ERCP has been used previously in the diagnosis of biliary and pancreatic tumors that manifested themselves as an hemobilia. The therapeutic utilization of endoscopic sphincterotomy had been described rarely in this type of bleedings. We recommend endoscopic retrograde cholangiopancreatography and sphincterotomy in the cases of hemobilia with severe abdominal pain resulting from the accumulation of clots inside the biliary tract.
Author	Loscos, J M Carda, P Fernández Madrid, J Meroño, E Defarges, V
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DocumentTitleAlternate	Dolor e ictericia secundario a hemobilia resuelto mediante CPRE y esfinterectomía endoscópica
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SubjectTerms	Abdominal Pain - etiology Biopsy - adverse effects Cholangiopancreatography, Endoscopic Retrograde Endoscopy Hemobilia - complications Hemobilia - diagnosis Hemobilia - surgery Humans Jaundice - diagnosis Jaundice - etiology Jaundice - surgery Liver - pathology Male Middle Aged Sphincter of Oddi - surgery
Title	Pain and jaundice secondary to hemobilia resolved by ERCP and endoscopic sphincterectomy
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