INTRACHOLEDOCAL BLEEDING DUE TO EPICHOLEDOCAL ARTERY LACERATION AFTER ENDOSCOPIC BALLOON DILATATION

E. Pijoan Comas; N. Torres Monclús; D.C. Bayas Pástor; M. Alburquerque Miranda; G. Torres Vicente; A. Vargas García; I. Miguel Salas; P. Huelin Álvarez; M. Figa Francesch; F. Gonzalez-Huix Lladó

doi:10.1055/s-0042-1745260

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Endoscopy 2022; 54(S 01): S240
DOI: 10.1055/s-0042-1745260

Abstracts | ESGE Days 2022

ESGE Days 2022 Digital poster exhibition

INTRACHOLEDOCAL BLEEDING DUE TO EPICHOLEDOCAL ARTERY LACERATION AFTER ENDOSCOPIC BALLOON DILATATION

E. Pijoan Comas

¹Clínica Girona, Girona, Spain

²Hospital de Palamós, Palamós, Spain

,

N. Torres Monclús

³Hospital Universitari Arnau de Vilanova, Lleida, Spain

,

D.C. Bayas Pástor

³Hospital Universitari Arnau de Vilanova, Lleida, Spain

,

M. Alburquerque Miranda

¹Clínica Girona, Girona, Spain

²Hospital de Palamós, Palamós, Spain

,

G. Torres Vicente

³Hospital Universitari Arnau de Vilanova, Lleida, Spain

,

A. Vargas García

¹Clínica Girona, Girona, Spain

²Hospital de Palamós, Palamós, Spain

,

I. Miguel Salas

³Hospital Universitari Arnau de Vilanova, Lleida, Spain

,

P. Huelin Álvarez

³Hospital Universitari Arnau de Vilanova, Lleida, Spain

,

M. Figa Francesch

¹Clínica Girona, Girona, Spain

,

F. Gonzalez-Huix Lladó

¹Clínica Girona, Girona, Spain

³Hospital Universitari Arnau de Vilanova, Lleida, Spain

› Author Affiliations

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Congress Abstract
Full Text

A 58-year-old man underwent ERCP for symptomatic choledocholithiasis. Dilatated CBD(15mm) with narrowing of intrapancreatic CBD(7mm) and 12mm lithiasis in medium CBD were found. Lithiasis could not be removed with balloon. Endoscopic-balloon-dilatation up to 14mm was performed. Immediately following balloon deflation, a spurting pulsatile bleeding from CBD was seen, probably due to epicholedocal artery laceration. Bleeding could not be controlled by compression. However, adrenalin injection achieved temporary haemostatic control. Lithiasis was removed. cSEMS of 4cm was placed. The bleeding was controlled during ERCP, the patient was discharged in 24h and stent had spontaneously migrated at 4 weeks.

Publication History

Article published online:
14 April 2022

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