Treatment of iatrogenic biliary obstruction by balloon dilatation of a biliary jejunal fistula.
Biliary obstruction and multiple hepatic abscesses occurred in a patient after ligation of a segmental branch of the right hepatic duct. The patient was successfully managed by transhepatic biliary drainage and balloon dilatation of an internal fistula that developed between the ligated duct and a Roux limb of jejunum. Internal biliary fistulas may be dilated using interventional radiologic techniques to permit nonobstructed bile flow. Implications for the nonsurgical treatment of biliary strictures are discussed.
D000800:Angioplasty, Balloon; D001658:Biliary Fistula / Q000628:therapy*; D002779:Cholestasis / Q000209:etiology* / Q000628:therapy; D004322:Drainage; D005260:Female; D006500:Hepatic Duct, Common / Q000293:injuries* / Q000601:surgery; D006801:Humans; D007049:Iatrogenic Disease; D007412:Intestinal Fistula / Q000628:therapy*; D007579:Jejunal Diseases / Q000628:therapy*; D008100:Liver Abscess / Q000209:etiology; D008875:Middle Aged; D011183:Postoperative Complications