Radiology Case Reports (Jun 2021)

Embolization of extrahepatic biliary leakage using NBCA

  • Stagno Alberto, MD,
  • Silipigni Salvatore, MD,
  • Tramarin Marco, MD,
  • Pallio Socrate, MD,
  • Cinquegrani Antonella, MD,
  • Catanzariti Francesca, MD,
  • Caloggero Simona, MD,
  • Bottari Antonio, MD

Journal volume & issue
Vol. 16, no. 6
pp. 1315 – 1319

Abstract

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Biliary fistula and bile leakage are complications that can occur during hepato-biliary or intestinal surgery and percutaneous biliary intervention. In some cases, spontaneous resolution is possible but more often re-intervention (surgical or percutaneous) is necessary. We present the case of a 45 y-o male patient who underwent duodenocefalopanreasectomy (Whipple procedure) with bilio-digestive anastomosis for adenoma of the duodenal papilla of Vater, complicated by the formation of a fistula through the bilio-digestive anastomosis. Conservative treatment with percutaneous biliary drainage was attempted in order to promote spontaneous resolution of the fistula. The persistence of the fistula brought the patient to treatment through interventional techniques. Sealing of the bilio-peritoneal fistula was obtained using N-butil-Cyanoacrylate .

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