Embolization of extrahepatic biliary leakage using NBCA

Abstract

Biliary fistula and bile leakage are complications that can occur during hepato-biliary or intestinal surgery and percutaneous biliary intervention. In some cases, spontaneous resolution is possible but more often re-intervention (surgical or percutaneous) is necessary. We present the case of a 45 y-o male patient who underwent duodenocefalopanreasectomy (Whipple procedure) with bilio-digestive anastomosis for adenoma of the duodenal papilla of Vater, complicated by the formation of a fistula through the bilio-digestive anastomosis. Conservative treatment with percutaneous biliary drainage was attempted in order to promote spontaneous resolution of the fistula. The persistence of the fistula brought the patient to treatment through interventional techniques. Sealing of the bilio-peritoneal fistula was obtained using N-butil-Cyanoacrylate .

Interventional Radiological Management and Prevention of Complications after Pancreatic Surgery: Drainage, Embolization and Islet Auto-Transplantation

“…The use of retrievable covered stents is gaining a foothold in the last years, accordingly to numerous studies, with a high rate of clinical success, providing an effective and definitive treatment [ 55 ]. On the other hand, other options which may be taken in consideration are the employment of balloon occlusions [ 46 ] or embolizing materials, such as fibrin, coils, and acetic acid, with an increased use of the N-butyl cyanoacrylate, according to the literature [ 56 , 57 , 58 ].…”