Abstract
Bile leak is a well-known complication of cholecystectomy. Endoscopic drainage and decompression of the biliary system including temporary insertion of a biliary stent is generally considered the treatment of choice. We report the successful obliteration of a bile leak using fibered platinum coils placed under fluoroscopic guidance after stent treatment had failed.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Buanes T, Waage A, Mjaland O, Solheim K (1996) Bile leak after cholecystectomy significance and treatment: Results from the national Norwegian Cholecystectomy Registry. Int Surg 181:276–279
Kaffee AJ, Hourigan L, De Luca N, Byth K, Williams SJ, Bourke MJ (2005) Impact of endoscopic intervention in 100 patients with suspected postcholecystectomy bile leak. Gastrointest Endosc 61:269–275
Prakash K, Jacob G, Lekha V, Venugopal A, Venugopal B, Ramesh H (2002) Laparoscopic cholecystectomy in acute cholecystitis. Surg Endosc 16:180–183
Sandha GS, Bourke MJ, Haber GB, Kortan PP (2004) Endoscopic therapy for bile leak based on a new classification: Results in 207 patients. Gastrointest Endosc 60:567–574
Cozzi G, Severini A, Civelli E, Milella M, Pulvirenti A, Salvetti M, Romito R, Suman L, Chiaraviglio F, Mazzaferro V (2006) Percutaneous transhepatic biliary drainage in the management of postsurgical biliary leaks in patients with nondilated intrahepatic bile ducts. Cardiovasc Intervent Radiol 29:380–388
Elmi F, Silvermann WB (2005) Nasobiliary tube management of postcholecystectomy bile leaks. J Clin Gastroenterol 39:441–444
Vu DN, Strub WM, Nguyen PM (2006) Biliary duct ablation with n-butyl cyanoacrylate. J Vasc Interv Radiol 17:63–69
Kiltz U, Baier J, Adamek RJ (1999) Selective embolisation of a bile leak after operative resection of an echinococcal cyst. Dtsch Med Wochenschr 124:650–652
Krige JEJ, Bornman PC, Beningfield SJ, Nieuwoudt JH, Terblanche J (1990) Endoscopic embolisation of external biliary fistulae. Br J Surg 77:581–583
Tsukamoto T, Hirohashi K, Osugi H, Kubo S, Tanaka H, Shuto T, Takemaura S, Kinoshita H (2002) Percutaneous management of bile duct injuries after cholecystectomy. Hepatogastroenterology 49:113–115
Thompson PhM, Hare ChMB, Lees WR (2004) Bile duct disruption following radiofrequency ablation: Successful repair using covered stent. Cardiovasc Intervent Radiol 27:383–385
Oliva VL, Nicolet V, Soulez G, Falardeau M, Daloze P, Jaoude MA, Carignan L (1997) Bilomas developing after laparoscopic biliary surgery: Percutaneous management with embolisation of biliary leaks. J Vasc Interv Radiol 8:469–473
Hunt JA, Gallagher PJ, Heintze SWDF, Waugh R, Shiel AGR (1997) Percutaneous microcoil embolization of intraperitoneal intrahepatic and extrahepatic biliary fistulas. ANZ J Surg 67:424–427
Sandroussi Ch, Lemech LD, Grunewald B, Abraham N, Gallagher PJ (2005) Late complication following coil embolization of a biliary leak. ANZ J Surg 75:614–615
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Schelhammer, F., Dahl, S.v., Heintges, T. et al. A Multimodal Approach in Coil Embolization of a Bile Leak Following Cholecystectomy. Cardiovasc Intervent Radiol 30, 529–530 (2007). https://doi.org/10.1007/s00270-006-0090-z
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00270-006-0090-z