Colonic hemorrhage due to biliary stent migration mistaken for recurrent hemobilia

Ting Min Hsieh, Shyr Ming Sheen-Chen

Research output: Contribution to journalArticlepeer-review

Abstract

Endoscopic biliary stenting is a well-established therapeutic option for biliary decompression in patients with a high operative risk. One of the major drawbacks of the procedure is distal migration. We present a patient who suffered from two episodes of gastrointestinal bleeding after biliary endoprosthesis placement. In the first episode, bloody stool passage occurred 1 day after the procedure. Hemobilia was diagnosed after endoscopic study. The bleeding source in the second episode, however, was later found to be erosion in the ascending colon as a late sequela of stent migration. The signs and symptoms in the two different-source bleeding episodes occurred consecutively, and were clinically similar. Therefore, the differential diagnosis in such a case might be difficult. Only with a high index of suspicion, which we used in this case, can the prompt diagnosis and optimal treatment be achieved.

Original languageEnglish
Pages (from-to)157-160
Number of pages4
JournalFormosan Journal of Surgery
Volume45
Issue number5
DOIs
Publication statusPublished - Oct 1 2012
Externally publishedYes

Keywords

  • Biliary stent migration
  • Colonic hemorrhage
  • Endoscopic retrograde cholangiopancreatography
  • Hemobilia

ASJC Scopus subject areas

  • Surgery

Fingerprint Dive into the research topics of 'Colonic hemorrhage due to biliary stent migration mistaken for recurrent hemobilia'. Together they form a unique fingerprint.

Cite this