Hemostasis With Fully Covered Self-Expanding Bare Metal Stent as a Bridge to Liver Transplantation in a Patient With Acute Liver Failure and Hemodynamically Unstable Hemobilia.

Abstract

We present the case of a 49-year-old man admitted for acute liver failure complicated by hemodynamically unstable hemobilia secondary to bleeding varices in the bile duct. Placement of a fully covered self-expanding bare metal stent (FCSEMS) was considered the best treatment of choice over hepatic artery embolization in this patient because of the venous source of bleeding. The success of this procedure indicates that FCSEMS can be considered as a bridge to liver transplantation in patients with acute liver failure who develop hemodynamically unstable hemobilia secondary to portal hypertensive biliopathy.