A Novel Approach to Localizing and Treating Post-surgical Hemobilia With Combined Radiofrequency Ablation and Biliary Stent Placement

Hemobilia is a rare but potentially life-threatening condition that has traditionally been treated with biliary stent placement. However, this method is often inadequate for localizing bleeding and is prone to recurrence. Recently, advances in cholangioscopy have offered both direct visualization of hemobilia and expanded treatment modalities. Here, we propose a novel approach to identifying and treating recurrent post-surgical hemobilia using cholangioscopy in conjunction with dual radiofrequency ablation (RFA) and biliary stent placement in a 78-year-old man who developed a biliary leak, intrahepatic infection, and recurrent hemobilia after laparoscopic cholecystectomy.