naa a22 4500 510813577 CHVBK 20180411083454.0 cr unu---uuuuu 180411e20130201xx s 000 0 eng 10.1007/s12328-012-0354-x doi (NATIONALLICENCE)springer-10.1007/s12328-012-0354-x Hemorrhage from bile duct varices treated with fully covered expandable metallic stent placement in pancreatic carcinoma [Elektronische Daten] [Chisato Ueda, Masataka Kikuyama, Tatsuki Ueda, Takafumi Kurokami] A 64-year-old woman with unresectable pancreatic body carcinoma was admitted with epigastralgia with a sudden onset 6h earlier. She had received chemotherapy for her cancer for 2months. Physical examination showed mild anemia. Contrast-enhanced computed tomography showed dilated vessels in the bile duct walls connecting with dilated and tortuous vessels around the extrahepatic bile duct and portal vein obstruction due to invasion by a pancreatic body tumor. Endoscopic examination showed transpapillary hemorrhage suggesting bile duct hemorrhage. On endoscopic retrograde cholangiopancreatography, the lower bile duct was filled with a mass and the middle bile duct had filling defects with compression of the wall. To stop the bleeding, we placed a fully covered expandable metallic stent (EMS) at the middle to lower portion of the bile duct, and the hemorrhage stopped. Bile duct hemorrhage is not a common disorder. This report shows bile duct hemorrhage from bile duct varices can occur in patients with pancreatic carcinoma with portal obstruction and that fully covered EMS placement can stop the hemorrhage. Springer Japan, 2013 Expandable metallic stent nationallicence Bile duct hemorrhage nationallicence Pancreatic cancer nationallicence Ueda Chisato Department of Gastroenterology, Shizuoka General Hospital, 4-27-1, Kita-ando, Aoiku, 420-8527, Shizuoka, Shizuoka, Japan aut Kikuyama Masataka Department of Gastroenterology, Shizuoka General Hospital, 4-27-1, Kita-ando, Aoiku, 420-8527, Shizuoka, Shizuoka, Japan aut Ueda Tatsuki Department of Gastroenterology, Shizuoka General Hospital, 4-27-1, Kita-ando, Aoiku, 420-8527, Shizuoka, Shizuoka, Japan aut Kurokami Takafumi Department of Gastroenterology, Shizuoka General Hospital, 4-27-1, Kita-ando, Aoiku, 420-8527, Shizuoka, Shizuoka, Japan aut Clinical Journal of Gastroenterology Springer Japan 6/1(2013-02-01), 80-83 1865-7257 6:1<80 2013 6 12328 https://doi.org/10.1007/s12328-012-0354-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12328-012-0354-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ueda Chisato Department of Gastroenterology, Shizuoka General Hospital, 4-27-1, Kita-ando, Aoiku, 420-8527, Shizuoka, Shizuoka, Japan aut NATIONALLICENCE 700 1- Kikuyama Masataka Department of Gastroenterology, Shizuoka General Hospital, 4-27-1, Kita-ando, Aoiku, 420-8527, Shizuoka, Shizuoka, Japan aut NATIONALLICENCE 700 1- Ueda Tatsuki Department of Gastroenterology, Shizuoka General Hospital, 4-27-1, Kita-ando, Aoiku, 420-8527, Shizuoka, Shizuoka, Japan aut NATIONALLICENCE 700 1- Kurokami Takafumi Department of Gastroenterology, Shizuoka General Hospital, 4-27-1, Kita-ando, Aoiku, 420-8527, Shizuoka, Shizuoka, Japan aut NATIONALLICENCE 773 0- Clinical Journal of Gastroenterology Springer Japan 6/1(2013-02-01), 80-83 1865-7257 6:1<80 2013 6 12328 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer