Percutaneous embolization of cystic duct stump leak following failed endoscopic management

A case of a 79-year-old man, status post laparoscopic cholecystectomy with a drainage catheter placed at the gallbladder fossa is presented. The case was complicated postoperatively by abdominal pain and bilious discharge from the drainage catheter. Endoscopic retrograde cholangio-pancreatography de...

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Bibliographic Details
Published in:Radiology case reports 2017-12, Vol.12 (4), p.786-789
Main Authors: Abdel Aal, Ahmed K, Jones, David P, Caraway, Jessica, Moustafa, Amr S, Moawad, Sherif M, Underwood, Edgar S
Format: Article
Language:English
Subjects:
Bile leak
Cholecystectomy
Coils
Cystic duct
Interventional Radiology
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Summary:A case of a 79-year-old man, status post laparoscopic cholecystectomy with a drainage catheter placed at the gallbladder fossa is presented. The case was complicated postoperatively by abdominal pain and bilious discharge from the drainage catheter. Endoscopic retrograde cholangio-pancreatography demonstrated leakage through the cystic duct stump into the gallbladder fossa. Placement of a covered metal stent endoscopically failed to seal the leak. We performed percutaneous embolization of the cystic duct stump using a combination of coils and gelatin sponge through the drainage catheter in the gallbladder fossa. To our knowledge, this technique has not been previously described in the literature.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2017.06.013