Hemostasis with Metallic Stent for Multiple Metastatic Pancreatic Tumors Complicated with Hemobilia.

IF 0.5 Q4 GASTROENTEROLOGY & HEPATOLOGY Case Reports in Gastroenterology Pub Date : 2024-02-06 eCollection Date: 2024-01-01 DOI:10.1159/000536221

Hiroyuki Ito, Yuji Omura, Tomonori Makuuchi, Tsubomi Chou, Ayano Ito, Ryutaro Fujimoto, Masashi Yokota, Shingo Tsuda, Junko Nagata, Shunji Hirose, Hisamichi Yoshii, Hideki Izumi, Tomoko Sugiyama, Takuma Tajiri, Takayoshi Suzuki

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Abstract

Introduction: Hemobilia, which refers to bleeding from the bile duct, is rare and difficult to treat. We report a case of successful hemostasis of a pancreatic tumor complicated by hemobilia.

Case presentation: A 76-year-old man was referred to our hospital with a pancreatic head tumor. Endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasonography-FNA were performed, and the patient was diagnosed with pancreatic metastasis of renal cell carcinoma. After discharge, the patient noted worsening jaundice and progressive anemia and was readmitted. ERCP reveals active bleeding from the duodenal papillae. The patient was placed on a fully covered metallic stent and discharged after confirming hemostasis.

Conclusion: Renal cell carcinoma is a tumor with abundant blood flow. If hemobilia occurs, bleeding from pancreatic metastatic tumors should be considered. Additionally, hemostasis using a fully covered metallic stent is useful for treating hemobilia in tumors.

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用金属支架为并发血友病的多发性转移性胰腺肿瘤止血。

导言：胆管出血是一种罕见且难以治疗的疾病。我们报告了一例胰腺肿瘤并发血友病的成功止血病例：一名 76 岁的男性因胰腺头部肿瘤转诊至我院。患者被诊断为肾细胞癌的胰腺转移。出院后，患者出现黄疸加重和进行性贫血，再次入院。ERCP 显示十二指肠乳头有活动性出血。患者被放置了一个全覆盖的金属支架，确认止血后出院：结论：肾细胞癌是一种血流丰富的肿瘤。结论：肾细胞癌是一种血流丰富的肿瘤，如果出现血肿，应考虑胰腺转移性肿瘤出血。此外，使用全覆盖金属支架止血也有助于治疗肿瘤出血。

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