RT Journal Article SR Electronic T1 Haemostatic radiation therapy for a bleeding intraductal papillary neoplasm of the biliary tree JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e226237 DO 10.1136/bcr-2018-226237 VO 11 IS 1 A1 Senthil Sundaravadanan A1 Manu Mathew A1 Thomas Samuel Ram A1 Philip Joseph YR 2018 UL http://casereports.bmj.com/content/11/1/e226237.abstract AB 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.