Porto-biliary fistula as an uncommon cause of haemobilia: A case report and literature review

Galvis, Valentina; Ayala, Daniela; Gonzalez T, Juliana; Rey-Chaves, Carlos Eduardo; Conde Monroy, Danny; Gomez, German; Sabogal Olarte, Juan Carlos

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dc.creator	Galvis, Valentina
dc.creator	Ayala, Daniela
dc.creator	Gonzalez T, Juliana
dc.creator	Rey-Chaves, Carlos Eduardo
dc.creator	Conde Monroy, Danny
dc.creator	Gomez, German
dc.creator	Sabogal Olarte, Juan Carlos
dc.date.accessioned	2022-12-19T19:49:27Z
dc.date.available	2022-12-19T19:49:27Z
dc.date.created	2022-10
dc.identifier.issn	2210-2612	spa
dc.identifier.uri	http://repositorio.mederi.com.co/handle/123456789/721
dc.description	Background: Haemobilia is a rare cause of gastrointestinal bleeding. It can be related to iatrogenic injuries, inflammatory diseases, and, more recently, postoperative, or post-procedure complications. Porto-biliary fistula is an uncommon case of haemobilia and has been related to iatrogenic injury or chronic inflammatory processes. To date, less than 30 cases of Porto-biliary fistula have been reported. Case presentation: We present a 53 years-old woman with a history of biliary obstruction due to a choledochal cyst that required hepaticojejunostomy with evidence of anastomotic stricture. A percutaneous transhepatic biliary drainage (PTBD) was performed, with 3 failed attempts of percutaneous dilatation. A new hepaticojejunostomy was completed, however, 45 days later the patient presented to the emergency room with haemobilia and secondary hemodynamic instability. An emergency damage control laparotomy was performed, achieving bleeding control. In the second procedure, there is evidence of an ulcerative injury of the biliary tract secondary to a Porto-biliary fistula. Conclusion: Porto-biliary fistula is an entity that cannot be ruled out in cases of haemobilia, especially in cases with a history of bile duct surgical or percutaneous procedures. The prognosis is usually good if multidisciplinary management is performed, and the source of the bleeding is identified early.	spa
dc.format.mimetype	application/pdf	spa
dc.relation.uri	https://doi.org/10.1016/j.ijscr.2022.107635	spa
dc.rights	Atribución-NoComercial-SinDerivadas 2.5 Colombia	*
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/2.5/co/	*
dc.title	Porto-biliary fistula as an uncommon cause of haemobilia: A case report and literature review	spa
dc.subject.keyword	Bile duct	spa
dc.subject.keyword	Haemobilia	spa
dc.subject.keyword	Laparotomy	spa
dc.subject.keyword	Porto-biliary fistula	spa
dc.rights.accessRights	openAccess	spa
dc.type.hasVersion	acceptedVersion	spa

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