Official reprint from UpToDate®
www.uptodate.com ©2017 UpToDate, Inc. and/or its affiliates. All Rights Reserved.

Medline ® Abstract for Reference 82

of '内镜下逆行胰胆管造影(ERCP)的罕见并发症'

Hemobilia in hereditary hemorrhagic telangiectasia: an unusual complication of endoscopic retrograde cholangiopancreatography.
Costa Macedo T, Maldonado R, Valente A, Palma R, Raimundo M, Liberato M, Távora I, Alexandrino P, Carneiro de Moura M
Endoscopy. 2003;35(6):531.
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.
Gastrenterology and Hepatology Intensive Care Unit, Dept. of Medicine II, Santa Maria Hospital, Av. Prof. Egas Moniz, 1649-035 Lisbon, Portugal. tcostamacedo@clix.pt