2020 Volume 40 Issue 3 Pages 499-502
The patient was a 68–year–old woman who underwent stent placement in the bile duct because of bile duct stenosis caused by hilar lymph node metastasis from breast cancer. Chronic inflammation and fistula formation between the common bile duct and duodenum were also noted. While the patient was hospitalized for cholangitis caused by metastasis, she developed sudden cardiopulmonary arrest. Upper gastrointestinal bleeding was suspected from abdominal CT performed after resuscitation, and upper gastrointestinal endoscopic examination performed subsequently showed active bleeding from the fistula. Resuscitative endovascular balloon occlusion of the aorta (REBOA) enabled avoidance of the development of shock during endoscopic hemostasis and interventional radiology (IVR) controlled the hemorrhage. We report a patient with severe upper gastrointestinal bleeding whose life was saved by IVR in conjunction with REBOA, along with a review of the relevant literature.
