Erschienen in:
01.12.2005 | CASE REPORT
Bronchobiliary Fistula Treated by Self-expanding ePTFE-Covered Nitinol Stent-Graft
verfasst von:
Roberto Gandini, Daniel Konda, Giuseppe Tisone, Vincenzo Pipitone, Alessandro Anselmo, Giovanni Simonetti
Erschienen in:
CardioVascular and Interventional Radiology
|
Ausgabe 6/2005
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Abstract
A 71-year-old man, who had undergone right hepatectomy extended to the caudate lobe with terminolateral Roux-en-Y left hepatojejunostomy for a Klatskin tumor, developed bilioptysis 3 weeks postoperatively due to bronchobiliary fistula. Percutaneous transhepatic cholangiography revealed a non-dilated biliary system with contrast medium extravasation to the right subphrenic space through a resected anomalous right posterior segmental duct. After initial unsuccessful internal-external biliary drainage, the fistula was sealed with a VIATORR covered self-expanding nitinol stent-graft placed with its distal uncovered region in the hepatojejunal anastomosis and the proximal ePTFE-lined region in the left hepatic duct. A 10-month follow-up revealed no recurrence of bilioptysis and confirmed the complete exclusion of the bronchobiliary fistula.