Refractory biliary leak from intrahepatic biliary-enteric anastomosis treated by selective portal vein embolization.
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.
Yamakado
Koichiro
K
Department of Radiology, Mie University School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan. yama@clin.medic.mie-u.ac.jp
Nakatsuka
Atsuhiro
A
Iwata
Makoto
M
Kondo
Akinobu
A
Isaji
Shuji
S
Uemoto
Shinji
S
Takeda
Kan
K
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