title: [A Case of Intractable Bile Leakage after Surgery for Gallbladder Cancer Successfully Treated by Transcatheter Arterial Embolization].
abstract: An 83-year-old man underwent extended cholecystectomy for gallbladder cancer. On postoperative day 13, he developed fever and computed tomography (CT) revealed fluid collection at the cut surface of the liver. Ultrasound-guided fluid drainage was conducted, and he was diagnosed with biliary leakage. Radiological examination using a contrast agent revealed that the anterior branch of the bile duct (B5) was completely interrupted. Simple drainage and ethanol injections into the bile duct proved ineffective. Thus, we performed transcatheter arterial embolization (TAE) in the anterior segmental artery (A5) to stop the production of bile in the injured part of anterior segment. The treatment was effective, and he was discharged 15 days after TAE. TAE might be a useful method for treating intractable interrupted-type bile leakage.
authors.affiliation: Dept. of Surgery, Toyonaka Municipal Hospital.
authors.forename: Atsuyo
authors.initials: A
authors.lastname: Ikeda
authors.forename: Takehiro
authors.initials: T
authors.lastname: Noda
authors.forename: Hisanori
authors.initials: H
authors.lastname: Hatano
authors.forename: Akihiro
authors.initials: A
authors.lastname: Takata
authors.forename: Masashi
authors.initials: M
authors.lastname: Hirota
authors.forename: Kazuteru
authors.initials: K
authors.lastname: Oshima
authors.forename: Tsukasa
authors.initials: T
authors.lastname: Tanida
authors.forename: Takamichi
authors.initials: T
authors.lastname: Komori
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Imamura
authors.forename: Shunji
authors.initials: S
authors.lastname: Morita
authors.forename: Takashi
authors.initials: T
authors.lastname: Iwazawa
authors.forename: Kenzo
authors.initials: K
authors.lastname: Akagi
authors.forename: Hideaki
authors.initials: H
authors.lastname: Yakushiji
authors.forename: Taku
authors.initials: T
authors.lastname: Yasumoto
authors.forename: Keizo
authors.initials: K
authors.lastname: Dono
mesh_terms: D000369:Aged, 80 and over; D017734:Bile Ducts, Extrahepatic / Q000601:surgery; D004322:Drainage; D004621:Embolization, Therapeutic; D005706:Gallbladder Neoplasms / Q000628:therapy*; D006498:Hepatectomy; D006801:Humans; D008099:Liver / Q000601:surgery; D008297:Male; D011183:Postoperative Complications; D016896:Treatment Outcome