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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2019; 29(03): 310-312
DOI: 10.4103/ijri.IJRI_16_19
Case Report

Bilio-cutaneous fistula obliteration with NBCA

Antonio Bottari
Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina
,
Salvatore Silipigni
Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina
,
Alberto Stagno
Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina
,
Simona Caloggero
Department of Diagnostic Imaging and Radiotherapy, University Hospital “G. Martino”, Messina, Italy
› Author Affiliations Financial support and sponsorship Nil.
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Abstract

Biliary fistula and bile leakage are complications that can occur during hepato-biliary surgery (both open and laparoscopic) and percutaneous biliary intervention. In some cases, spontaneous resolution is documented but more often re-intervention (surgical or percutaneous) is necessary. We present the case of a male patient who underwent right hepatectomy with bilio-digestive anastomosis for a cholangiocarcinoma which developed a bilo-cutaneous fistula through the path of a previously inserted percutaneous transhepatic drainage. Sealing of bilo-cutaneous fistula was obtained using N-butil-Cyanoacrylate. This technique has already been reported in some papers as a useful tool for biliary tree obliteration; however, to our knowledge, no cases describing the use of glue to seal a sub-cutaneous route are available in literature.

Keywords

Biliary tree - cholangiography - fistula - NBCA - obliteration


Publication History

Received: 29 January 2019

Accepted: 05 June 2019

Article published online:
22 July 2021

© 2019. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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