Urgent endovascular repair of upper gastrointestinal bleeding from an arterio-biliary fistula with a covered coronary stent

Abstract

Hemobilia is an uncommon cause of upper gastrointestinal bleeding, yet its incidence is rising owing to the increasing use of local diagnostic and therapeutic interventions. The most common cause of hemobilia in the developed world is iatrogenic liver trauma such as percutaneous instrumentation, accounting for two-thirds of all cases of hemobilia [1]. Endovascular repair is a well-known treatment option for traumatic lesions of digestive arteries [1]. Nevertheless, coiling for stopping bleeding often requires target artery occlusion.