Varón de 55 años con ictericia obstructiva en el contexto de hepatopatía alcohólica y pancreatitis crónica al que se realiza CPRE con esfinterotomía y prótesis biliar plástica. Reingresó por hematemesis e ictericia con nueva CPRE, observando sangrado por papila y prótesis migrada que se recambia por una recubierta. Nuevo reingreso por hematemesis y shock, observando en gastroscopia sangrado procedente de la vía biliar y prótesis migrada, que se retira. Se realiza arteriografía, evidenciándose sangrado por aneurisma de arteria hepática derecha secundario a decúbito de la prótesis, que se emboliza con coils con resolución del cuadro hemorrágico (fig. 1).
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Se realiza arteriografía, evidenciándose sangrado por aneurisma de arteria hepática derecha secundario a decúbito de la prótesis, que se emboliza con coils con resolución del cuadro hemorrágico (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1168 "Ancho" => 2542 "Tamanyo" => 226870 ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/0009739X/0000009200000009/v1_201410110208/S0009739X14001572/v1_201410110208/es/main.assets" "Apartado" => array:4 [ "identificador" => "15025" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "La imagen del mes" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/0009739X/0000009200000009/v1_201410110208/S0009739X14001572/v1_201410110208/es/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0009739X14001572?idApp=UINPBA00004N" ]