{"title":"Percutaneous transhepatic embolisation of multisegmental bile leak using a combined Histoacryl-Lipiodol mixture.","authors":"Behiç Akyüz","doi":"10.4103/jmas.jmas_281_25","DOIUrl":null,"url":null,"abstract":"<p><strong>Abstract: </strong>Bile leakage is a serious complication that can lead to life-threatening conditions if not promptly addressed. We present a rare case of a 38-year-old male patient who sustained a liver laceration due to a gunshot injury, resulting in a multisegmental bile leak. Despite percutaneous transhepatic biliary drainage (PTBD), a persistent bile leak was observed. Selective embolisation was performed by interventional radiology via microcatheterisation of the affected peripheral biliary branches, using a mixture of Lipiodol and Histoacryl. The patient showed complete clinical recovery, and the bile leak resolved during follow-up. This case highlights a minimally invasive and effective treatment alternative for refractory bile leaks unresponsive to PTBD, potentially reducing the need for surgical intervention and its associated risks.</p>","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.1000,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Minimal Access Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4103/jmas.jmas_281_25","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Abstract: Bile leakage is a serious complication that can lead to life-threatening conditions if not promptly addressed. We present a rare case of a 38-year-old male patient who sustained a liver laceration due to a gunshot injury, resulting in a multisegmental bile leak. Despite percutaneous transhepatic biliary drainage (PTBD), a persistent bile leak was observed. Selective embolisation was performed by interventional radiology via microcatheterisation of the affected peripheral biliary branches, using a mixture of Lipiodol and Histoacryl. The patient showed complete clinical recovery, and the bile leak resolved during follow-up. This case highlights a minimally invasive and effective treatment alternative for refractory bile leaks unresponsive to PTBD, potentially reducing the need for surgical intervention and its associated risks.
期刊介绍：
Journal of Minimal Access Surgery (JMAS), the official publication of Indian Association of Gastrointestinal Endo Surgeons, launched in early 2005. The JMAS, a quarterly publication, is the first English-language journal from India, as also from this part of the world, dedicated to Minimal Access Surgery. The JMAS boasts an outstanding editorial board comprising of Indian and international experts in the field.
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