Needle-Knife Fistulotomy for the Rescue: An Unusual Cause of Iatrogenic Extrahepatic Biliary Obstruction

A 71-year-old male presented to our institution with cholestatic hepatitis after having recently undergone upper endoscopy for treatment of gastrointestinal bleeding. Further investigation with endoscopic retrograde cholangiopancreatography revealed a hemostatic clip on the ampulla of Vater. After i...

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Main Authors:	Laura L. Ulmer, Lokesh K. Jha, Neil Bhogal, Saurabh Kapur, Saurabh Chandan, Derrick Eichele, Ishfaq Bhat, Shailender Singh
Format:	Article
Language:	English
Published:	Hindawi Limited 2018-01-01
Series:	Case Reports in Gastrointestinal Medicine
Online Access:	http://dx.doi.org/10.1155/2018/8159451

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spelling	doaj-10da6448b94c4a0aa8119ce7ec2582a12020-11-24T23:14:12ZengHindawi LimitedCase Reports in Gastrointestinal Medicine2090-65282090-65362018-01-01201810.1155/2018/81594518159451Needle-Knife Fistulotomy for the Rescue: An Unusual Cause of Iatrogenic Extrahepatic Biliary ObstructionLaura L. Ulmer0Lokesh K. Jha1Neil Bhogal2Saurabh Kapur3Saurabh Chandan4Derrick Eichele5Ishfaq Bhat6Shailender Singh7Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Nebraska Medical Center, 982000 Nebraska Medical Ctr, Omaha, NE 68198-2000, USADivision of Gastroenterology and Hepatology, Department of Internal Medicine, University of Nebraska Medical Center, 982000 Nebraska Medical Ctr, Omaha, NE 68198-2000, USADivision of Gastroenterology and Hepatology, Department of Internal Medicine, University of Nebraska Medical Center, 982000 Nebraska Medical Ctr, Omaha, NE 68198-2000, USADivision of Gastroenterology and Hepatology, Department of Internal Medicine, University of Nebraska Medical Center, 982000 Nebraska Medical Ctr, Omaha, NE 68198-2000, USADivision of Gastroenterology and Hepatology, Department of Internal Medicine, University of Nebraska Medical Center, 982000 Nebraska Medical Ctr, Omaha, NE 68198-2000, USADivision of Gastroenterology and Hepatology, Department of Internal Medicine, University of Nebraska Medical Center, 982000 Nebraska Medical Ctr, Omaha, NE 68198-2000, USADivision of Gastroenterology and Hepatology, Department of Internal Medicine, University of Nebraska Medical Center, 982000 Nebraska Medical Ctr, Omaha, NE 68198-2000, USADivision of Gastroenterology and Hepatology, Department of Internal Medicine, University of Nebraska Medical Center, 982000 Nebraska Medical Ctr, Omaha, NE 68198-2000, USAA 71-year-old male presented to our institution with cholestatic hepatitis after having recently undergone upper endoscopy for treatment of gastrointestinal bleeding. Further investigation with endoscopic retrograde cholangiopancreatography revealed a hemostatic clip on the ampulla of Vater. After initial attempts at cannulation of the common bile duct were unsuccessful, biliary decompression was achieved by use of needle-knife fistulotomy. A common bile duct stent was placed and the liver function tests improved prior to discharge.http://dx.doi.org/10.1155/2018/8159451
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Laura L. Ulmer Lokesh K. Jha Neil Bhogal Saurabh Kapur Saurabh Chandan Derrick Eichele Ishfaq Bhat Shailender Singh
spellingShingle	Laura L. Ulmer Lokesh K. Jha Neil Bhogal Saurabh Kapur Saurabh Chandan Derrick Eichele Ishfaq Bhat Shailender Singh Needle-Knife Fistulotomy for the Rescue: An Unusual Cause of Iatrogenic Extrahepatic Biliary Obstruction Case Reports in Gastrointestinal Medicine
author_facet	Laura L. Ulmer Lokesh K. Jha Neil Bhogal Saurabh Kapur Saurabh Chandan Derrick Eichele Ishfaq Bhat Shailender Singh
author_sort	Laura L. Ulmer
title	Needle-Knife Fistulotomy for the Rescue: An Unusual Cause of Iatrogenic Extrahepatic Biliary Obstruction
title_short	Needle-Knife Fistulotomy for the Rescue: An Unusual Cause of Iatrogenic Extrahepatic Biliary Obstruction
title_full	Needle-Knife Fistulotomy for the Rescue: An Unusual Cause of Iatrogenic Extrahepatic Biliary Obstruction
title_fullStr	Needle-Knife Fistulotomy for the Rescue: An Unusual Cause of Iatrogenic Extrahepatic Biliary Obstruction
title_full_unstemmed	Needle-Knife Fistulotomy for the Rescue: An Unusual Cause of Iatrogenic Extrahepatic Biliary Obstruction
title_sort	needle-knife fistulotomy for the rescue: an unusual cause of iatrogenic extrahepatic biliary obstruction
publisher	Hindawi Limited
series	Case Reports in Gastrointestinal Medicine
issn	2090-6528 2090-6536
publishDate	2018-01-01
description	A 71-year-old male presented to our institution with cholestatic hepatitis after having recently undergone upper endoscopy for treatment of gastrointestinal bleeding. Further investigation with endoscopic retrograde cholangiopancreatography revealed a hemostatic clip on the ampulla of Vater. After initial attempts at cannulation of the common bile duct were unsuccessful, biliary decompression was achieved by use of needle-knife fistulotomy. A common bile duct stent was placed and the liver function tests improved prior to discharge.
url	http://dx.doi.org/10.1155/2018/8159451
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Needle-Knife Fistulotomy for the Rescue: An Unusual Cause of Iatrogenic Extrahepatic Biliary Obstruction

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