Radiofrequency ablation-associated necrosis of the hepatic duct confluence: re-establishing biliary continuity with percutaneous cholangiographic-peroral cholangioscopic rendezvous (with videos)

Schneider, A; Türck, J.; Helmberger, Thomas; Schmid, R.; Schepp, Wolfgang

doi:10.1016/j.gie.2010.10.050

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…Cholangiopathy with biliary inflammation and necrosis has been recognized as a result of post-liver transplantation ischemic injury, particularly with livers donated after cardiac death (DCD), 8 surgical complication of laparoscopic cholecystectomy, 9 advanced HIV/AIDS cholangiopathy, 10 after radiofrequency ablation for hepatocellular carcinoma, 11 and in patients with hemophagocytic syndrome. 12 However, to our knowledge, this is the first report of infectious biliary necrosis and cholangiopathy as a complication of ERCP.…”

Section: Discussionmentioning

confidence: 99%

Emphysematous Cholecystitis Resulting in Secondary Biliary Cirrhosis: A Rare Complication of Endoscopic Retrograde Cholangiopancreatography

Bari

Aslanian

Pollak

et al. 2013

ACG Case Reports Journal

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A 48-year-old female developed acute emphysematous cholecystitis after an endoscopic retrograde cholangiopancreatography (ERCP) for evaluation of sphincter of Oddi dysfunction. Cholecystectomy was performed 2 days later. Cultures grew Clostridium perfringens. The patient received broad-spectrum antibiotics but developed recurrent cholangitic abscesses and intra- and extra-hepatic biliary necrosis. She was managed by percutaneous transhepatic biliary drains. For next 3 years, patient had recurrent episodes of biliary obstruction, cholangitis, and sepsis, resulting in secondary biliary cirrhosis requiring a liver transplantation. Emphysematous cholecystitis is a rare complication of ERCP. Prompt diagnosis and surgical management can prevent further spread of infection to biliary tree.

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Section: Discussionmentioning

confidence: 99%

Emphysematous Cholecystitis Resulting in Secondary Biliary Cirrhosis: A Rare Complication of Endoscopic Retrograde Cholangiopancreatography

Bari

Aslanian

Pollak

et al. 2013

ACG Case Reports Journal

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“…The most common cause of biliary leaks is laparoscopic cholecystectomy, but they may also be caused by other abdominal surgeries and interventions such as liver resection, transarterial embolization therapy, and thermal ablation. 1 2 Biliary leaks and bilomas often necessitate clinical management due to the increased risk of bile peritonitis and sepsis. 3 However, they may be difficult to diagnose initially due to the late postsurgical onset of leaking and nonspecific clinical signs.…”

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confidence: 99%

Biliary Leaks and Bilomas: Etiology, Diagnosis, and Management Techniques

Gowda

Georgiades

Weiss

2022

Digestive Disease Interventions

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Biliary leaks and bilomas are significant complications that arise more commonly from iatrogenic or traumatic bile duct injury. These are increasingly occurring primarily due to the growing number of laparoscopic cholecystectomies performed. Diagnosis can be challenging because of nonspecific patient symptoms, but early recognition and treatment is crucial for improving patient outcomes. Detection of biliary leaks involves a strong clinical suspicion and multimodal imaging studies, including magnetic resonance cholangiopancreatography, cholescintigraphy, endoscopic retrograde cholangiopancreatography, or percutaneous transhepatic cholangiography. Definitive treatment most often requires the endoscopic placement of biliary stents to decrease pressure in the biliary system and the placement of a percutaneous drain for drainage if a biloma is found. However, biliary leaks are heterogeneous in their severity and location, and some are refractory to the standard approach. In such cases, novel and minimally invasive techniques, rather than surgical procedures, have been described for the treatment of biliary leaks. Diagnosis and management require a multidisciplinary approach by diagnostic radiologists, interventional radiologists, gastroenterologists, and surgeons.

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Radiofrequency ablation-associated necrosis of the hepatic duct confluence: re-establishing biliary continuity with percutaneous cholangiographic-peroral cholangioscopic rendezvous (with videos)

Cited by 2 publications

References 4 publications

Emphysematous Cholecystitis Resulting in Secondary Biliary Cirrhosis: A Rare Complication of Endoscopic Retrograde Cholangiopancreatography

Emphysematous Cholecystitis Resulting in Secondary Biliary Cirrhosis: A Rare Complication of Endoscopic Retrograde Cholangiopancreatography

Biliary Leaks and Bilomas: Etiology, Diagnosis, and Management Techniques

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