Portobiliary fistula: successful transcatheter treatment with embolisation coils.
- Author:
Jendana CHANYAPUTHIPONG
;
Richard Hoau Gong LO
1
;
Bien Soo TAN
1
;
Pierce Kah Hoe CHOW
1
Author Information
1. Interventional Radiology Centre, Department of Diagnostic Radiology, Singapore General Hospital, Outram Road, Singapore 169608. richard.lo.h.g@sgh.com.sg.
- Publication Type:Case Reports
- MeSH:
Anemia;
complications;
Bile Ducts;
pathology;
Catheterization;
Cholangiography;
methods;
Embolization, Therapeutic;
methods;
Fistula;
etiology;
therapy;
Hepatitis B;
complications;
Humans;
Liver;
pathology;
Liver Cirrhosis;
complications;
Male;
Middle Aged;
Portal Vein;
pathology;
Tomography, X-Ray Computed;
Treatment Outcome
- From:Singapore medical journal
2014;55(3):e34-6
- CountrySingapore
- Language:English
-
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.
