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Inicio Cirugía Española (English Edition) Endovascular Treatment of Severe Gastrointestinal Bleeding Due to a Right Hepati...
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Vol. 92. Issue 9.
Pages e53 (November 2014)
Vol. 92. Issue 9.
Pages e53 (November 2014)
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DOI: 10.1016/j.cireng.2014.04.003
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Endovascular Treatment of Severe Gastrointestinal Bleeding Due to a Right Hepatic Artery Aneurysm Caused by erosion of an endoscopic biliary prosthesis
Tratamiento endovascular de una hemorragia digestiva grave por aneurisma de la arteria hepática derecha secundaria al decúbito de una prótesis biliar endoscópica
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Alberto Titos García
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albertotitosg@hotmail.com

Corresponding author.
, José Manuel Aranda Narváez, Cristina Rodríguez Silva, Julio Santoyo Santoyo
Servicio de Cirugía General, Digestiva y Trasplantes, Hospital Regional Universitario, Málaga, Spain
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A 55-year-old male with obstructive jaundice associated with alcoholic hepatopathy and chronic pancreatitis underwent ERCP with sphincterotomy and plastic biliary stent placement. He was readmitted due to hematemesis and jaundice. Another ERCP was performed, during which we observed papillary bleeding and migration of the prosthesis, which was exchanged for a coated stent. He was readmitted once again due to hematemesis and shock, and a gastroscopy revealed hemorrhage originating in the bile duct and migration of the stent, which was removed. Arteriography showed evidence of bleeding due to an aneurism of the right hepatic artery secondary to decubitus erosion of the prosthesis. Coil embolization resolved the hemorrhage (Fig. 1).

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Please cite this article as: Titos García A, Aranda Narváez JM, Rodríguez Silva C, Santoyo Santoyo J. Tratamiento endovascular de hemorragia digestiva grave por aneurisma de arteria hepática derecha secundaria a decúbito de prótesis biliar de CPRE. Cir Esp. 2014;92:e53.

Copyright © 2014. AEC
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