{"id":3871,"date":"2016-06-13T10:00:34","date_gmt":"2016-06-13T10:00:34","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/varizes-de-coledoco-uma-causa-rara-de-hemobilia\/"},"modified":"2023-03-13T17:38:32","modified_gmt":"2023-03-13T17:38:32","slug":"varizes-de-coledoco-uma-causa-rara-de-hemobilia","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/varizes-de-coledoco-uma-causa-rara-de-hemobilia\/","title":{"rendered":"Varizes de col\u00e9doco : uma causa rara de hemobilia."},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"3871\" class=\"elementor elementor-3871\">\n\t\t\t\t\t\t<section class=\"penci-section penci-disSticky penci-structure-10 elementor-section elementor-top-section elementor-element elementor-element-7b86d0f6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7b86d0f6\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"penci-ercol-100 penci-ercol-order-1 penci-sticky-ct    elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-79ca7d3c\" data-id=\"79ca7d3c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5222eb08 elementor-widget elementor-widget-text-editor\" data-id=\"5222eb08\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tVarizes de col\u00e9doco s\u00e3o uma causa rara de hemobilia. \u00a0Na maioria das vezes associa-se a hipertens\u00e3o portal secund\u00e1ria a hepatopatia cr\u00f4nica. Abaixo apresentamos um caso de hemobilia grave devido a ruptura de\u00a0varizes coledocianas.\n\nUma paciente do sexo feminino, com 54 anos, portadora de hepatopatia cr\u00f4nica (Child C) e hipertens\u00e3o portal (varizes de es\u00f4fago erradicadas e gastropatia congestiva moderada) foi caminhada ao setor de endoscopia. Ela\u00a0apresentava icter\u00edcia (++\/+4), desconforto em hipoc\u00f4ndrio direito, febre de 38,4 \u00baC, \u00a0taquicardia (112 bpm\/min)\u00a0e havia realizado uma tomografia computadorizada (TC) de abdome que\u00a0identificou vias biliares intra e extra-hep\u00e1ticas dilatadas\u00a0com falhas de enchimento sugestivas de c\u00e1lculos.\n\nA\u00a0solicita\u00e7\u00e3o de CPRE foi baseada no diagn\u00f3stico de colangite e nas imagens sugestivas de c\u00e1lculos pela TC.\n\nDurante o exame, ap\u00f3s a papilotomia, foi realizada a varredura com bal\u00e3o extrator na tentativa de remover os supostos c\u00e1lculos identificados na tomografia. Por\u00e9m, logo foi percebido que tais falhas de enchimento n\u00e3o correspondiam a lit\u00edase, mas sim a varizes coledocianas que se projetavam para a luz do col\u00e9doco simulando imagens de c\u00e1lculos. Ap\u00f3s essa constata\u00e7\u00e3o, que foi logo ap\u00f3s a primeira varredura balonada, notou-se sangramento vultuoso. Tentada hemostasia mec\u00e2nica por compress\u00e3o do bal\u00e3o contra a parede do col\u00e9doco, sem sucesso.\n\nOptado pela passagem de pr\u00f3tese met\u00e1lica, auto expans\u00edvel e totalmente recoberta (80 mm x 10 mm),\u00a0obtendo a\u00a0parada completa da hemorragia.\n\n&nbsp;\n\n<div style=\"position:relative;padding-top:56.20608899297424%;\"><iframe id=\"panda-e39f8b7b-e0ce-4bf0-a999-f07be4fb5a21\" src=\"https:\/\/player-vz-a75e9d45-986.tv.pandavideo.com.br\/embed\/?v=e39f8b7b-e0ce-4bf0-a999-f07be4fb5a21\" style=\"border:none;position:absolute;top:0;left:0;\" allow=\"accelerometer;gyroscope;autoplay;encrypted-media;picture-in-picture\" allowfullscreen=true width=\"100%\" height=\"100%\" fetchpriority=\"high\"><\/iframe><\/div>\n\n&nbsp;\n\nA paciente permaneceu internada por 5 dias na unidade de terapia intensiva, por\u00e9m foi a \u00f3bito\u00a0por choque s\u00e9ptico refrat\u00e1rio secund\u00e1rio \u00e0 colangite.\n\nRelatamos um caso de obstru\u00e7\u00e3o das vias biliares por varizes de col\u00e9doco seguida de\u00a0colangite grave e complicado por hemobilia vultuosa. Apesar de ser uma causa rara de sangramento, as varizes coledocianas\u00a0devem ser inclu\u00eddas no diagn\u00f3stico diferencial de hemobilia ou estenoses biliares sem causa aparente em pacientes com\u00a0hipertens\u00e3o portal. O diagn\u00f3stico pr\u00e9vio \u00e9 particularmente importante, uma vez que n\u00e3o reconhecidas podem resultar em hemorragia grave durante procedimentos endosc\u00f3picos envolvendo o trato biliar.\n\n<strong>Caso gentilmente cedido pelo Dr. Marcos Lera &#8211; M\u00e9dico Assistente do Servi\u00e7o de Endoscopia Digestiva do Hospital das Cl\u00ednicas da Faculdade de Medicina da USP\u00a0<\/strong>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Varizes de col\u00e9doco s\u00e3o uma causa rara de hemobilia. \u00a0Na maioria das vezes associa-se&hellip;<\/p>\n","protected":false},"author":4256,"featured_media":3872,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[150],"tags":[],"ano":[281],"tipo":[155],"volume":[263],"class_list":["post-3871","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casosclinicos","ano-281","tipo-cpre","volume-volume-i"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Varizes de col\u00e9doco : uma causa rara de hemobilia. &#8226; Endoscopia Terapeutica<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/varizes-de-coledoco-uma-causa-rara-de-hemobilia\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Varizes de col\u00e9doco : uma causa rara de hemobilia.\" \/>\n<meta property=\"og:description\" content=\"Varizes de col\u00e9doco s\u00e3o uma causa rara de hemobilia. \u00a0Na maioria das vezes associa-se a hipertens\u00e3o portal secund\u00e1ria a hepatopatia cr\u00f4nica. Abaixo\" \/>\n<meta property=\"og:url\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/varizes-de-coledoco-uma-causa-rara-de-hemobilia\/\" \/>\n<meta property=\"og:site_name\" content=\"Endoscopia Terapeutica\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/endoscopiaterapeutica\" \/>\n<meta property=\"article:published_time\" content=\"2016-06-13T10:00:34+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-03-13T17:38:32+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/06\/var.png\" \/>\n\t<meta property=\"og:image:width\" content=\"713\" \/>\n\t<meta property=\"og:image:height\" content=\"432\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Renzo Feitosa Ruiz\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Renzo Feitosa Ruiz\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/varizes-de-coledoco-uma-causa-rara-de-hemobilia\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/varizes-de-coledoco-uma-causa-rara-de-hemobilia\/\"},\"author\":{\"name\":\"Renzo Feitosa Ruiz\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/#\/schema\/person\/32a0cde19cd69e63a6e27bb170003484\"},\"headline\":\"Varizes de col\u00e9doco : uma causa rara de hemobilia.\",\"datePublished\":\"2016-06-13T10:00:34+00:00\",\"dateModified\":\"2023-03-13T17:38:32+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/varizes-de-coledoco-uma-causa-rara-de-hemobilia\/\"},\"wordCount\":399,\"commentCount\":1,\"publisher\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/#organization\"},\"image\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/varizes-de-coledoco-uma-causa-rara-de-hemobilia\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/06\/var.png\",\"articleSection\":[\"Casos Cl\u00ednicos\"],\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/varizes-de-coledoco-uma-causa-rara-de-hemobilia\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/varizes-de-coledoco-uma-causa-rara-de-hemobilia\/\",\"url\":\"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/varizes-de-coledoco-uma-causa-rara-de-hemobilia\/\",\"name\":\"Varizes de col\u00e9doco : uma causa rara de hemobilia. &#8226; 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