Refractory biliary leak from intrahepatic biliary-enteric anastomosis treated by selective portal vein embolization

J Vasc Interv Radiol. 2002 Dec;13(12):1279-81. doi: 10.1016/s1051-0443(07)61980-0.

Abstract

A 66-year-old woman underwent partial hepatectomy and pylorus-preserving pancreaticoduodenectomy for advanced Klatskin-type cholangiocarcinoma, and five intrahepatic biliary-enteric anastomoses were created. One anastomosis between the anterior-superior segmental bile duct and the jejunum developed a refractory biliary leak. Selective portal venous embolization with use of ethanol was performed in the anterior-superior portal branch to eliminate the production of bile by the target segment. The patient's clinical course was uneventful and the leak resolved after portal vein embolization.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anastomosis, Surgical / adverse effects*
  • Bile Duct Neoplasms / surgery
  • Bile Ducts, Intrahepatic / surgery
  • Biliary Fistula / etiology*
  • Biliary Fistula / therapy*
  • Cholangiocarcinoma / surgery
  • Embolization, Therapeutic*
  • Female
  • Hepatectomy
  • Humans
  • Portal Vein*