engleski

Reintervention in percutaneous biliary drainage

Elderly female patient with end-stage infiltrative gastric cancer was previously treated by percutaneous biliary drainage. The patient pulled the catheter one month after placement and was re-admitted. A bilio-cutaneous fistular canal was persistent with bile oozing on the skin surface. We performed a twofold procedure, first inserting a new 8F catheter to ensure adequate biliary drainage. A percutaneous biliography was performed via this catheter, which also proved that the patent fistular canal was connected to the main hepatic duct. A second catheter was inserted in this canal and it was embolised with a mixture of acrylate and lipiodol. The embolisation procedure gave good results and the fistular canal was closed

Percutaneous liver biliary drainage; bilio-cutaneous fistular canal

Case number 10023