Retrievable biliary stent-graft management of refractory postoperative bile leakage.
The authors report a case of a successful outcome after retrievable biliary stent-graft management in a patient with refractory postoperative bile leakage. A 52-year-old man who underwent a Whipple operation presented with postoperative bile leakage. A percutaneous transhepatic biliary drainage (PTBD) catheter remained from the operation, and bile leakage persisted after 7 days of drainage with the catheter. A retrievable biliary stent-graft was placed; it was removed 14 days later. Cholangiography indicated patency of the anastomosis without contrast medium leakage, and the PTBD catheter was removed. There were no procedural-related complications.
Department of Radiology, Inje University College of Medicine, Seoul Paik Hospital, 85, 2Ga, Jur-Dong, Jung-Ku, Seoul 100-032, Korea. radgwon@unitel.co.kr
Dong Il
DI
Gwon
Jae Chan
JC
Shim
Young Kyung
YK
Lee
Ghi Jai
GJ
Lee
Ho Kyun
HK
Kim
D000230:Adenocarcinoma / Q000601:surgery; D000714:Anastomosis, Surgical / Q000009:adverse effects; D001646:Bile; D001649:Bile Duct Diseases / Q000209:etiology / Q000601:surgery*; D001662:Biliary Tract Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D002408:Catheters, Indwelling / Q000009:adverse effects; D020878:Device Removal; D004322:Drainage / Q000295:instrumentation; D004379:Duodenal Neoplasms / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D016577:Pancreaticoduodenectomy / Q000009:adverse effects; D012086:Reoperation; D015607:Stents