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DOI: 10.1055/s-2000-4662
Upper Gastrointestinal Hemorrhage Secondary to Erosion of a Biliary Wallstent in a Woman with Pancreatic Cancer
Publication History
Publication Date:
31 December 2000 (online)
A 77-year-old patient with unresectable pancreatic adenocarcinoma sustained a life-threatening, upper gastrointestinal hemorrhage 1 month after placement of a biliary Wallstent. Radiographic and endoscopic studies revealed a choledocho-arterio-enteric fistula caused by erosion of the stent through the posterior duodenal wall. The patient was treated successfully with arterial embolization. This represents an unusual case of arterial bleeding with choledocho-arterio-enteric fistulization into the duodenum subsequent to biliary stent erosion.
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G. R. Lichtenstein,M.D.
Gastroenterology Division University of Pennsylvania School of Medicine Hospital of the University of Pennsylvania
Third Floor Ravdin Building 3400 Spruce Street Philadelphia, PA 19104-4283 USA
Fax: Fax:+ 1-215-349-5915
Email: E-mail:grl@mail.med.upenn.edu