CASE REPORT   

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

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