A novel endoscopic treatment of major bile duct leak

Aiman Al Wahaibi, Khalid Alnaamani, Ahmed Alkindi, Issa Al Qarshoubi

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

INTRODUCTION: Bile leak is a serious complication of hepatobiliary surgery. The incidence has remained the same over the last decade despite significant improvement in the results of liver surgery. PRESENTATION OF CASE: A 21-year-old man was a passenger in a motor vehicle and sustained a blunt abdominal trauma in a high-speed collision leading to major liver laceration. He had right lobe hepatectomy complicated by major bile leak. He was not fit for further surgery and he, therefore, had ERCP and obliteration of the leaking bile duct using a combination of metallic coil and N-butyl cyanoacrylate. DISCUSSION: Endoscopic therapy has become the modality of choice in the treatment of biliary tract injuries. Different modalities of management of persistent bile leak such as sphincterotomy, plastic biliary stents, and nasobiliary drainage have been described. Obliteration of bile duct leak using N-butyl cyanoacrylate and coil embolization has been described but most of these reports used the percutaneous transhepatic approach. CONCLUSION: In this paper, we describe the second reported case in English literature of a novel endoscopic technique using a combination of metallic coil embolization and N-butyl cyanoacrylate in a patient with major bile leak who was not a candidate for surgery as well as a third report of the late complication of coil migration to the common bile duct.

Original languageEnglish
Pages (from-to)189-192
Number of pages4
JournalInternational Journal of Surgery Case Reports
Volume5
Issue number4
DOIs
Publication statusPublished - 2014

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Keywords

  • Bile leak
  • ERCP
  • Liver resection
  • Metallic coil
  • N-butyl cyanoacrylatea

ASJC Scopus subject areas

  • Surgery

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