Utility of stent-grafts in treatment of porto-biliary fistula.
A porto-biliary fistula causing hemobilia is a known complication of percutaneous transhepatic biliary drainage (PTBD). We present two patients with hemobilia secondary to porto-biliary fistula, treated successfully by percutaneous placement of stent-grafts. In one case, the stent-graft was placed in the bile duct, and in the other case, it was placed in the intrahepatic portal vein branch. Hemobilia stopped and there were no complications except a small area of hepatic infarction, distal to the stent-graft in the portal vein.
Peynircioglu
Bora
B
Department of Radiology, University of Michigan Hospital, Ann Arbor, MI, USA.
Cwikiel
Wojciech
W
D001157:Arterial Occlusive Diseases / Q000628:therapy; D001650:Bile Duct Neoplasms / Q000150:complications / Q000628:therapy; D001653:Bile Ducts, Intrahepatic / Q000473:pathology / Q000601:surgery; D001658:Biliary Fistula / Q000209:etiology / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D002404:Catheterization / Q000295:instrumentation; D018281:Cholangiocarcinoma / Q000150:complications / Q000628:therapy; D002758:Cholangiography; D002780:Cholestasis, Intrahepatic / Q000209:etiology / Q000628:therapy*; D004322:Drainage / Q000009:adverse effects; D006431:Hemobilia / Q000628:therapy; D006499:Hepatic Artery / Q000473:pathology; D006801:Humans; D008103:Liver Cirrhosis / Q000628:therapy; D008297:Male; D008875:Middle Aged; D011169:Portal Vein / Q000473:pathology* / Q000601:surgery*; D015607:Stents