title: Portobiliary fistula: successful transcatheter treatment with embolisation coils.
abstract: Although portobiliary fistula is a recognised complication of percutaneous transhepatic biliary drainage, it is extremely uncommon and can result in haemobilia. Herein, we present a case of complicated transhepatic biliary drainage catheter insertion in a patient with underlying hepatitis B liver cirrhosis, which resulted in a portobiliary fistula. The patient had a preoperative transhepatic biliary drainage procedure done prior to a Whipple's operation for a large, obstructive, gastrointestinal stromal tumour of the duodenum. To the best of our knowledge, this is the first case in the English medical literature reporting the successful treatment of portobiliary fistula by embolisation of its tract with embolisation coils, without compromising the portal vein or bile ducts.
authors.forename: Jendana
authors.initials: J
authors.lastname: Chanyaputhipong
authors.affiliation: Interventional Radiology Centre, Department of Diagnostic Radiology, Singapore General Hospital, Outram Road, Singapore 169608. richard.lo.h.g@sgh.com.sg.
authors.forename: Richard Hoau Gong
authors.initials: RH
authors.lastname: Lo
authors.affiliation: Interventional Radiology Centre, Department of Diagnostic Radiology, Singapore General Hospital, Outram Road, Singapore 169608. richard.lo.h.g@sgh.com.sg.
authors.forename: Bien Soo
authors.initials: BS
authors.lastname: Tan
authors.affiliation: Interventional Radiology Centre, Department of Diagnostic Radiology, Singapore General Hospital, Outram Road, Singapore 169608. richard.lo.h.g@sgh.com.sg.
authors.forename: Pierce Kah Hoe
authors.initials: PK
authors.lastname: Chow
mesh_terms: D000740:Anemia / Q000150:complications; D001652:Bile Ducts / Q000473:pathology*; D002404:Catheterization; D002758:Cholangiography / Q000379:methods; D004621:Embolization, Therapeutic / Q000379:methods*; D005402:Fistula / Q000209:etiology* / Q000628:therapy*; D006509:Hepatitis B / Q000150:complications*; D006801:Humans; D008099:Liver / Q000473:pathology; D008103:Liver Cirrhosis / Q000150:complications*; D008297:Male; D008875:Middle Aged; D011169:Portal Vein / Q000473:pathology*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome