Massive hemobilia during extraction of a covered self-expandable metal stent in a patient with portal hypertensive biliopathy.

摘要

A 74-year-old woman with a history of upper and lower GI bleeding from esophageal, gastric, and rectal varices related to cavernous transformation of the portal vein was admitted for symptomatic portal hypertensive biliopathy. A common bile duct stricture (A) was treated by inserting a 60-mm covered self-expandable metal stent (Taewoong-Medical Co, Ltd, Seoul, South Korea).