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CASE REPORT
Haemostatic radiation therapy for a bleeding intraductal papillary neoplasm of the biliary tree
  1. Senthil Sundaravadanan1,
  2. Manu Mathew2,
  3. Thomas Samuel Ram2 and
  4. Philip Joseph1
  1. 1 Department of Hepatopancreaticobiliary Surgery, Christian Medical College and Hospital, Vellore, Tamil nadu, India
  2. 2 Department of Radiation Oncology, Christian Medical College and Hospital, Vellore, Tamil nadu, India
  1. Correspondence to Senthil Sundaravadanan, senthil.surjun{at}gmail.com

Abstract

Haemostatic radiation was effectively used as a novel rescue therapy in a 60-year-old man who presented with recurrent melaena refractory to all conventional medical and surgical measures. He needed multiple transfusions and was diagnosed to be bleeding from an intraductal papillary biliary neoplasm which was not amenable to surgical resection in view of the background liver disease. He received conventional radiation therapy (RT) of a dose of 3 Gy per fraction for 3 consecutive days after which he stabilised. After cessation of the RT, he did not require transfusion for the next 2 months. His quality of life improved and it gave us time to evaluate for other definitive measures.

  • surgical oncology
  • radiotherapy
  • cirrhosis
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Footnotes

  • Patient consent for publication Next of kin consent obtained.

  • Contributors SS was involved in conception and design, analysis and interpretation of findings, drafting the article and revising it critically for important intellectual content. MM was involved in analysis and interpretation of findings, drafting the article and revising it critically for important intellectual content. TSR and PJ were involved in conception and design and revising it critically for important intellectual content and final approval of the version published. None of the authors have any relation to the patient or his family and any similarity in name is purely coincidental.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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