Torrential Bleeding at ERCP – Stent it and Stop it

Abstract Text A 65-year-old male patient was admitted for ERCP due to choledocholithiasis. During the procedure, a plastic stent was placed after incomplete removal of calculi. An ERCP was performed two months later. The stent was in situ and was removed uneventfully. The cholangiogram revealed a dilation of the main biliary duct and an impacted stone. Calculus removal after balloon dilation up to 15 mm, followed by torrential arterial bleeding. First attempt at hemostasis with balloon compression was ineffective. A fully covered metallic stent (30 Fr x 6 cm) was placed with hemorrhage resolution. The patient was safely discharged after 48 hours. We present a rare complication successfully resolved during the procedure [1].