Ces radiol. 2018, 72(3):161-165 | DOI: 10.55095/CesRadiol2018/023

Percutaneous embolization of biliary leakage via biloma cavityCase report

Magdaléna Mižičková¹, Miroslav Malik¹, Vladimír Javorka¹, Peter Labaš², Jozef Bilický¹

¹ Rádiologická klinika LF UK, SZU a UNB, Bratislava, SR

² I. chirurgická klinika LF UK a UNB, Bratislava, SR

The aim of this article is to present the case of the patient with the recurrent biliary leakage from the resected liver surface after metastasectomy at the left liver lobe. The biliary leakage with biloma occured four months after the resection of the metastases. The cholestasis within the progress of the oncological disease in the liver occured at the time of biliary leakage. Firstly the biliary leakage was treated by applying the duodenobiliary drainage into the right liver lobe and by percutaneous drainage of the biloma. Within the recurrence of the leakage with the cholestasis in the left liver lobe the percutaneous transhepatic drainage was applied from the left. Even though there was no cholestasis the leakage persisted. The bilocutaneous fistula with the biloma drainage through the anterior abdominal wall was formed. The patient was indicated for the miniinvasive therapy with the aim to embolise the injured bile duct. After the embolisation of the bile duct the leakage stopped to occur and there was no recurrence within the period of three months follow-up.

Keywords: iatrogenous lesions of biliary tree, biliary leakage, embolization of peripheral bile duct

Accepted: August 15, 2018; Published: September 1, 2018  Show citation