An Unusual Treatment for Massive and Refractory Bleeding after Endoscopic Retrograde Cholangiopancreatography

A 52-year-old woman with a history of laparoscopic cholecystectomy within the past 2 weeks, presented to the emergency department with abdominal pain and icter from 2 days earlier. She complained of an epigastric pain with radiation to the back, which was aggravated after taking a meal and did not change with position. Her vital signs at admission were as below: Blood pressure: 120:100 mmHg, pulse rate: 68 per minute, respiratory rate: 14 per minute, body temperature from oral root: 36.7 °C. In general appearance she looked ill and her sclera was icteric. In physical examination of the abdomen, epigastric tenderness was noticed. There were no signs of guarding and rigidity.by Ahmad Hormati in Shahid-beheshti-hospital, Qom, Iran).