title: Refractory biliary leak from intrahepatic biliary-enteric anastomosis treated by selective portal vein embolization.
abstract: A 66-year-old woman underwent partial hepatectomy and pylorus-preserving pancreaticoduodenectomy for advanced Klatskin-type cholangiocarcinoma, and five intrahepatic biliary-enteric anastomoses were created. One anastomosis between the anterior-superior segmental bile duct and the jejunum developed a refractory biliary leak. Selective portal venous embolization with use of ethanol was performed in the anterior-superior portal branch to eliminate the production of bile by the target segment. The patient's clinical course was uneventful and the leak resolved after portal vein embolization.
authors.affiliation: Department of Radiology, Mie University School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan. yama@clin.medic.mie-u.ac.jp
authors.forename: Koichiro
authors.initials: K
authors.lastname: Yamakado
authors.forename: Atsuhiro
authors.initials: A
authors.lastname: Nakatsuka
authors.forename: Makoto
authors.initials: M
authors.lastname: Iwata
authors.forename: Akinobu
authors.initials: A
authors.lastname: Kondo
authors.forename: Shuji
authors.initials: S
authors.lastname: Isaji
authors.forename: Shinji
authors.initials: S
authors.lastname: Uemoto
authors.forename: Kan
authors.initials: K
authors.lastname: Takeda
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects*; D001650:Bile Duct Neoplasms / Q000601:surgery; D001653:Bile Ducts, Intrahepatic / Q000601:surgery; D001658:Biliary Fistula / Q000209:etiology* / Q000628:therapy*; D018281:Cholangiocarcinoma / Q000601:surgery; D004621:Embolization, Therapeutic; D005260:Female; D006498:Hepatectomy; D006801:Humans; D011169:Portal Vein