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Start Over Author "Bharat Paranandi" Journal acg case reports journal
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2. Pericardiobiliary Fistulation: A Rare Complication of Therapeutic ERCP in a Patient With IgG4-Related Sclerosing Cholangitis

Author

Bharat Paranandi, Gavin Johnson, George J. Webster, and D Joshi

Subjects
Acute coronary syndrome, medicine.medical_specialty, Fibrous capsule of Glisson, business.industry, medicine.medical_treatment, Biliary, Stent, Case Report, General Medicine, equipment and supplies, medicine.disease, Diaphragm (structural system), Surgery, surgical procedures, operative, Pericardial sac, Pericardiocentesis, medicine, Biliary stent, Complication, business
Abstract

A 70-year-old man presented with acute coronary syndrome 3 weeks after plastic stent insertion for hilar biliary stricturing secondary to IgG4-related sclerosing cholangitis (IgG4-SC). Imaging demonstrated haemopericardium due to proximal migration of the plastic biliary stent through the liver capsule and diaphragm into the pericardial sac. The stent was endoscopically removed and a pericardiocentesis was performed. The patient's clinical condition rapidly improved. We illustrate an unusual but potentially serious complication that may arise from migration of a biliary stent and discuss a management strategy.

Published
2015
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