Interventional radiology in percutaneous management of bile duct obstruction: biliary drainage through a spontaneous common hepatic duct-duodenal fistula.
Bile duct injuries are a serious complication of biliary surgery. We report a case of benign obstruction of the common hepatic duct associated with common hepatic duct-duodenal spontaneous fistula following complex surgical intervention. We managed percutaneously the fistula with balloon dilatation and long-term stenting, as the fistula allowed biliary flow in the duodenum. We avoided reintervention preserving biliary flow, with good clinical results after a follow-up of a 3 years. We emphasize the role of a clinically focused approach to percutaneous management of complications following biliary surgery.
Department of Radiology, University of Ferrara, Italy.
P
P
Mannella
R
R
Galeotti
F
F
Causin
S
S
Sala
D001649:Bile Duct Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D001658:Biliary Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D002404:Catheterization; D002758:Cholangiography / Q000379:methods; D002763:Cholecystectomy / Q000009:adverse effects; D002779:Cholestasis / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D004322:Drainage; D004378:Duodenal Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D005500:Follow-Up Studies; D006500:Hepatic Duct, Common / Q000000981:diagnostic imaging; D006801:Humans; D007412:Intestinal Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D015642:Radiology, Interventional / Q000379:methods*; D015607:Stents; D014057:Tomography, X-Ray Computed