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DOI: 10.1055/s-0041-1740852
Biliary Ablation for Sectoral Duct Injury to Avoid Surgery
Purpose: This study aimed to present a case of sectoral duct injury post cholecystectomy managed by percutaneous drainage and chemical biliary ablation.
Materials and Methods: A 23-year-old female presented with bile leak secondary to sectoral duct injury post cholecystectomy. The patient was referred to interventional radiology for a temporary percutaneous transhepatic biliary drainage (PTBD), followed by right hepatectomy, given the site and extent of injury. However, the patient was managed by PTBD, followed by chemical bile duct ablation using absolute alcohol.
Results: The treatment was concluded after eight sessions when there was no more output from the PTBD. The PTBD was removed after 5 months without complications. The patient is doing well for the past 2 years and no surgery was performed.
Conclusion: Chemical biliary ablation can help induce biliary fibrosis to prevent biliary leak, recurrent cholangitis, and avoid further surgeries.
Publication History
Article published online:
14 December 2021
© 2021. The Pan Arab Interventional Radiology Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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