Combined surgical and interventional radiological treatment for biliary leakage following iatrogenic biliary obstruction

Abstract

Biliary leakage is a challenging complication when managing the bile duct strictures. The etiology of benign strictures of the biliary tree may have different etiologies but iatrogenic is the most common, with relevant increase after introduction of laparoscopic procedures.Interventional radiologist plays a key role, both in diagnosis and treatment of biliary strictures and leakage.We report on a case of a 39-year-old woman affected by abdominal pain and jaundice after laparoscopic cholecystectomy; jaundice was caused by surgical clipping of the common bile duct. The combined management by surgeon and interventional radiologist, consisting of removal of surgical clip and percutaneous management of biliary leakage, successfully resolved the leakage with clinical success. Keywords: Biliary leakage, Combined treatment, Complication, Laparoscopic cholecystectomy