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Interventional radiology in percutaneous management of bile duct obstruction:

Biliary drainage through a spontaneous common hepatic duct-duodenal fistula

      Abstract

      Bile duct injuries are a serious complication of biliary surgery. We report a case of benign obstruction of the common hepatic duct associated with common hepatic duct-duodenal spontaneous fistula following complex surgical intervention. We managed percutaneously the fistula with balloon dilatation and long-term stenting, as the fistula allowed biliary flow in the duodenum. We avoided reintervention preserving biliary flow, with good clinical results after a follow-up of 3 years. We emphasize the role of a clinically focused approach to percutaneous management of complications following biliary surgery.

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      References

        • Kern K.A.
        Medicolegal analysis of bile duct injury during open cholecystectomy and abdominal surgery.
        Am J Surg. 1994; 168: 217-222
        • Pellegrini C.A.
        • Thomas M.J.
        • Way L.W.
        Recurrent biliary stricture.
        Am J Surg. 1984; 147: 175-180
        • Machado M.A.
        • Jukemura J.
        • Volpe P.
        • et al.
        Internal biliary fistula.
        Rev Hosp Clin Fac Med Sao Paulo. 1995; 50: 45-48
        • Sharma A.
        • Sullivan M.
        • English H.
        • et al.
        Laparoscopic repair of cholecystoduodenal fistulae.
        Surg Laparosc Endosc. 1994; 4: 433-435
        • Gentileschi P.
        • Forlini A.
        • Rossi P.
        • et al.
        Laparoscopic approach to cholecystocolic fistula.
        J Laparoendosc Surg. 1995; 5: 413-417
        • Horattas M.C.
        • Lewis R.D.
        • Fenton A.H.
        • et al.
        Modern concepts in nonsurgical management of traumatic biliary fistulas.
        J Trauma. 1994; 36: 186-189
        • Poli M.L.
        • Lefebvre F.
        • Ludot H.
        • et al.
        Nonoperative management of biliary tract fistulas after blunt abdominal trauma in a child.
        J Pediatr Surg. 1995; 30: 1719-1721