Biliary Ablation for Sectoral Duct Injury to Avoid Surgery

Abstract

Bile duct injury is a common and serious complication of both laparoscopic and open cholecystectomy. The conventional treatment for isolated bile duct injury is hepaticojejunostomy or hepatectomy. We present a case of biliary leak from an isolated right posterior sectoral duct after cholecystectomy treated with percutaneous sclerotherapy using alcohol. Approval and consent waiver were obtained from the Institutional Review Board (IRB 2023-CR-18).

Keywords

• sectoral duct
• biliary injuries
• ablation
• sclerotherapy
• interventional radiology
• bile leak
• percutaneous transhepatic biliary drainage