AI Article Synopsis

  • * A 76-year-old man with a pancreatic head tumor, diagnosed as a metastasis of renal cell carcinoma, experienced worsening symptoms and was readmitted for treatment after initial discharge.
  • * The patient underwent ERCP, which revealed bleeding, and effective hemostasis was achieved using a fully covered metallic stent, demonstrating its usefulness in treating hemobilia linked to tumors.

Article 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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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10846876PMC
http://dx.doi.org/10.1159/000536221DOI Listing

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