Endoscopic tamponade using a fully covered self-expandable metallic stent for massive biliary bleeding from a pseudoaneurysm rupture during metallic stent removal

摘要

A, Abdominal CT shows a fully covered self-expandable metallic stent (SEMS, arrowhead) in the bile duct and a plastic stent (arrow) in the gallbladder. No biliary bleeding or pseudoaneurysm was observed. B, The endoscopic view shows SEMS occlusion by biliary sludge. We inserted an 8.5F plastic stent into the SEMS to resolve cholangitis.