Biliary hemorrhage after removal of an expandable metallic stent during liver transplantation
Shunji Narumi, Kenichi Hakamda, Yoshikazu Toyoki, Keinosuke Ishido, Masaki Nara, Syuichi Yoshihara, Mutsuo Sasaki – 29 October 2008 – The self‐expandable metallic stent (SEMS) has become a common device for palliative treatment of malignant biliary obstructions or benign strictures. Despite the ease of placement of SEMSs, their removal has been reported to be very difficult. Here, we report a case with primary sclerosing cholangitis who developed massive hemorrhage after intraoperative removal of a SEMS.