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Journal of Radiological Review 2020 September-October;7(5):416-21

DOI: 10.23736/S2723-9284.20.00028-4

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English, Italian

Portobiliary post percutaneous transhepatic cholangiography fistula treatment by embolization with microcoils

Giuseppe DI GIOVANNI 1 , Margherita CURLO 2, Mauro MASTRONARDI 2, Marco GRASSO 3, Fabio FUCILLI 1

1 Department of Radiology, Scientific Institute for Digestive Diseases-IRCCS Saverio De Bellis, Castellana Grotte, Bari, Italy; 2 Unit of Gastroenterology and Digestive Endoscopy, Scientific Institute for Digestive Diseases-IRCCS Saverio De Bellis, Castellana Grotte, Bari, Italy; 3 Unit of Anesthesia and Reanimation, Scientific Institute for Digestive Diseases-IRCCS Saverio De Bellis, Castellana Grotte, Bari, Italy


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Percutaneous transhepatic cholangiography (PTC) is a minimally invasive procedure used for the treatment of both benign and neoplastic stenosis of biliary tree. During this procedure a rate of complications can occours: bleeding is the most frequent one, and often it is caused by portobiliary fistulas. We present the case of a high-flux portobiliary fistula arising during PTC performed for a stenosis of intrapancreatic tract of the common bile duct caused by a pancreatic adenocarcinoma and treated by embolization with microcoils of the portal branch.


KEY WORDS: Radiography, interventional; Fistula; Cholangiography

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