case_images: PMC6345089_01
case_images: ERCP image: post stents with no fistulous connection.
case_images: omy120f01.jpg
case_images: PMC6345089_01_omy120f01.jpg
case_images: omy120F1
case_images: There were no immediate complications following the ERCP with no evidence of fistulous connection on fluoroscopy image(Fig. 1).
case_images: Hemobilia: endoscopic image of active bleeding from ampulla.
case_images: omy120f02.jpg
case_images: PMC6345089_01_omy120f02.jpg
case_images: omy120F2
case_images: Eventually on one of the episodes of large volume hematemesis with hypotension requiring large volume transfusion and intubation; on upper endoscopy active hemobilia was visualized (Fig. 2).
case_images: Areteriobiliary fistula: fistula between R hepatic artery and common hepatic duct.
case_images: omy120f03.jpg
case_images: PMC6345089_01_omy120f03.jpg
case_images: omy120F3
case_images: An emergent catheter guided mesenteric angiogram noted Ateriobiliary fistula between R hepatic artery and common hepatic duct (Fig. 3), transcatheter coil/Gelfoam slurry embolization of the right hepatic artery was done (Fig. 4).
case_images: Post coil: successful closure of fistula with no arterial contrast flow into common hepatic duct.
case_images: omy120f05.jpg
case_images: PMC6345089_01_omy120f05.jpg
case_images: omy120F5
case_images: Post-embolization angiogram shows closure of fistula (Fig. 5), hematemesis resolved following the procedure.