Iatrogenic portobiliary fistula treated by stent-graft placement.
Stent-graft exclusion of an ischemic, hilar portobiliary fistula after liver transplantation has not been reported. Isolated reports have described peripheral or nonischemic fistulas, and alternative treatment options have ranged from balloon tamponade to surgical repair. We present a unique case of a hilar portobiliary fistula successfully treated to resolution by unilateral placement of a stent-graft.
Lorenz
Jonathan M
JM
Department of Radiology, The University of Chicago Medical Center, 5841 South Maryland Avenue, MC 2026, Chicago, IL 60637, USA.
Zangan
Steven M
SM
Leef
Jeffrey A
JA
Van Ha
Thuong G
TG
D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D021721:Balloon Occlusion / Q000379:methods; D001658:Biliary Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D005500:Follow-Up Studies; D006085:Graft Survival; D006499:Hepatic Artery / Q000000981:diagnostic imaging; D006500:Hepatic Duct, Common; D006801:Humans; D007049:Iatrogenic Disease; D008103:Liver Cirrhosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D008107:Liver Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D017093:Liver Failure / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D016031:Liver Transplantation / Q000009:adverse effects* / Q000379:methods; D008297:Male; D008875:Middle Aged; D011168:Portal System / Q000000981:diagnostic imaging; D015641:Radiography, Interventional / Q000379:methods; D018570:Risk Assessment; D015607:Stents; D017131:Thrombectomy / Q000009:adverse effects / Q000379:methods; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome