Case Report
Copyright ©The Author(s) 2015.
World J Gastroenterol. Apr 28, 2015; 21(16): 5090-5095
Published online Apr 28, 2015. doi: 10.3748/wjg.v21.i16.5090
Figure 1
Figure 1 Choledocholithiases with a maximum diameter of 13 mm were identified on the cholangiogram.
Figure 2
Figure 2 Endoscopic image of the papilla of Vater was gradually worsening because of the adhesion of a significant amount of coagulation.
Figure 3
Figure 3 We placed a fully covered Wallflex® self-expandable metallic stent that was 10 mm with an 8-cm diameter across the papilla of Vater, and hemorrhage stopped immediately.
Figure 4
Figure 4 Re-bleeding was not observed after the self-expandable metallic stent removal, and an ulcerative lesion appeared from the orifice of the papilla of Vater to the lower bile duct.
Figure 5
Figure 5 Direct peroral cholangioscopy revealed an exposed vessel with a laceration in the lower bile duct ulcerative area.