Management of Hemodynamic Collapse After Liver Transplantation From Native Bile Duct Stump Hemorrhage with Gelfoam.


Journal

ACG case reports journal
ISSN: 2326-3253
Titre abrégé: ACG Case Rep J
Pays: United States
ID NLM: 101638398

Informations de publication

Date de publication:
Oct 2019
Historique:
received: 08 05 2019
accepted: 13 09 2019
entrez: 14 12 2019
pubmed: 14 12 2019
medline: 14 12 2019
Statut: epublish

Résumé

Spontaneous hemobilia is a rare complication after liver transplantation and is largely secondary to the formation of an arteriobiliary fistula, which is generally treated by vascular interventional radiology embolization. We present a case of hemorrhagic shock secondary to arterial hemorrhage at an oversewn bile duct stump after liver transplantation, which failed vascular interventional radiology embolization, and was subsequently controlled using an endoscopic application of a gelatin sponge slurry (Gelfoam). We present this unique approach and review the history of this surgical and interventional hemostasis tool that has not been previously described for endoscopic use.

Identifiants

pubmed: 31832474
doi: 10.14309/crj.0000000000000254
pii: ACGCR-19-0319
pmc: PMC6855557
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e00254

Informations de copyright

© 2019 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.

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Auteurs

Xiao Jing Wang (XJ)

Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN.

Navtej Buttar (N)

Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN.

Andrew C Storm (AC)

Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN.

Classifications MeSH