Bilio-cutaneous fistula formation after percutaneous liver mass biopsy: embolization of the tract with a gelatin matrix.
We report an unusual complication of ultrasound-guided percutaneous liver biopsy, in the form of a persisting iatrogenic bilio-cutaneous fistula. A patient with liver hilar tumor and malignant obstructive jaundice was initially treated by successful placement of bilateral metallic stents and did well until mass biopsy was decided. The fistula created decreased patient's quality of life, and because the patient refused further interventions, fistula catheterization for embolization was proposed. We injected a gelatin matrix into the extrahepatic portion of the fistula and embolized the tract successfully.
Hatzidakis
Adam
A
Department of Radiology, University Hospital of Heraklion, Medical School of Crete, Heraklion-Stavrakia, Crete, Greece.
Petrakis
Ioannis
I
Mantatzis
Michalis
M
Chamalakis
Constantine
C
Chalkiadakis
George
G
Gourtsoyiannis
Nicholas
N
D001649:Bile Duct Diseases / Q000209:etiology* / Q000628:therapy*; D001653:Bile Ducts, Intrahepatic; D001658:Biliary Fistula / Q000209:etiology* / Q000628:therapy*; D001706:Biopsy / Q000009:adverse effects* / Q000379:methods; D017577:Cutaneous Fistula / Q000209:etiology* / Q000628:therapy*; D004621:Embolization, Therapeutic; D005260:Female; D005780:Gelatin; D006801:Humans; D008099:Liver / Q000473:pathology; D008875:Middle Aged
D005780:Gelatin