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CC BY 4.0 · Journal of Clinical Interventional Radiology ISVIR
DOI: 10.1055/s-0045-1806785
Case Report

Percutaneous Transhepatic Extra-Anatomical Biliodigestive Anastomosis of an Excluded Accessory Right Posterior Bile Duct after Pancreaticoduodenectomy

Francois H. Cornelis 
1   Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York, United States
2   Department of Radiology, Weill Cornell Medical College, New York, New York, United States
,
William Jarnagin
3   Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, United States
,
Debkumar Sarkar
1   Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York, United States
› Institutsangaben
Funding M.S.K. is funded through the NIH/NCI Cancer Center Support Grant P30 CA008748.
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Abstract

Biliary complications, such as leaks and obstructions, pose significant postoperative challenges, especially when endoscopic access is unfeasible. This case report highlights the exclusive use of a percutaneous technique to establish an extra-anatomical biliodigestive anastomosis for a persistent biliary leak from an excluded right posterior bile duct following pancreaticoduodenectomy. A transhepatic approach was employed, redirecting bile flow via an internal-external drain and later stenting, achieving symptom resolution without surgical reintervention. This technique might be a viable alternative for managing complex biliary leaks, leveraging percutaneous methods to restore continuity. Long-term follow-up confirmed its success, suggesting further investigation into its safety and efficacy.

Keywords

interventional radiology - biliary drainage - cancer

Disclosures

The authors have no financial disclosures or competing interests to report.




Publikationsverlauf

Artikel online veröffentlicht:
26. März 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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