A Case of Intractable Bile Leakage after Surgery for Gallbladder Cancer Successfully Treated by Transcatheter Arterial Embolization

Ikeda, A.; Noda, T.; Hatano, H.; Takata, A.; Hirota, M.; Oshima, K.; Tanida, T.; Komori, T.; Imamura, H.; Morita, S.; Iwazawa, T.; Akagi, K.; Yakushiji, H.; Yasumoto, T.; Dono, K.

Gan to Kagaku Ryoho. Cancer and ChemoTherapy 42(12): 1734-1736

2015


ISSN/ISBN: 0385-0684
PMID: 26805155
Document Number: 679624
An 83-year-old man underwent extended cholecystectomy for gallbladder cancer. On postoperative day 13, he developed fever and computed tomography (CT) revealed fluid collection at the cut surface of the liver. Ultrasound-guided fluid drainage was conducted, and he was diagnosed with biliary leakage. Radiological examination using a contrast agent revealed that the anterior branch of the bile duct (B5) was completely interrupted. Simple drainage and ethanol injections into the bile duct proved ineffective. Thus, we performed transcatheter arterial embolization (TAE) in the anterior segmental artery (A5) to stop the production of bile in the injured part of anterior segment. The treatment was effective, and he was discharged 15 days after TAE. TAE might be a useful method for treating intractable interrupted-type bile leakage.

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