An octogenarian was admitted with acute cholangitis due to a common bile duct stone. Endoscopic retrograde biliary drainage and antibiotics were initiated on the day of admission, leading to rapid clinical improvement. Stone extraction was subsequently performed using endoscopic retrograde cholangiopancreatography. After an endoscopic sphincterotomy, oozing blood was observed and was refractory to standard endoscopic hemostatic measures. Using a forward-viewing gastroscope, hemostasis was then achieved through the application of Hemospray. Hemospray may serve as a useful rescue option for endoscopic sphincterotomy-related bleeding when conventional hemostatic techniques fail.
