Refractory Intrahepatic Bile Leak in a Young Patient After Blunt Abdominal Trauma: Technique of Endoscopic Management Using Cyanoacrylate Glue-Lipiodol Combination.
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引用次数: 0
Abstract
Bile leaks are commonly managed endoscopically with either sphincterotomy and/or biliary stenting. Historically, if these procedures failed, surgery was inevitable, carrying high morbidity. Data are sparse on the management of persistent or refractory bile leaks after failed endoscopic retrograde cholangiopancreatography. We report a young patient, following blunt abdominal trauma, managed with percutaneous catheter drains for bilomas. Ongoing bilious output in the perihepatic drain persisted, despite 3 sessions of biliary stenting and subsequent stent upgradations. Definitive management was achieved by endoscopic injection of glue-lipiodol (1:1) at the leak site under real-time fluoroscopic guidance, highlighting a minimally invasive alternative to surgery.
期刊介绍：
ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.
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