Department of Radiology, Ankara Ataturk Education and Research Hospital, Bilkent, 06800 Ankara, Turkey.
Cardiovasc Intervent Radiol. 2011 Feb;34 Suppl 2:S266-70. doi: 10.1007/s00270-009-9790-5. Epub 2010 Jan 7.
A 27-year-old female with a type 2 hydatid cystic lesion in the liver according to the Gharbi classification (CE 3A according to the WHO classification) was referred for percutaneous treatment after albendazole treatment for 1 year. A catheterization technique was performed but hypertonic saline and alcohol were not given into the cavity due to cystobiliary leakage. During the 4-month follow-up period, sequential cavitography revealed biliary fistula, and bile-stained drainage had not been ceased despite the sphincterotomy, nasobiliary drainage catheter, and plastic stent. Since the patient refused to surgery, we embolized the biliary fistula using N-butyl 2-cyanoacrylate for the first time in the literature. At the 3-month follow-up, the patient's course was uneventful and ultrasound, multidetector-row CT, and MRI examinations revealed no collection in or adjacent to the cavity.
一位 27 岁女性，根据 Gharbi 分类为 2 型肝包虫囊性病变（根据世界卫生组织分类为 CE3A），在阿苯达唑治疗 1 年后，因囊液渗漏，无法行腔内注射高渗盐水和酒精，遂转诊行介入治疗。在 4 个月的随访期间，连续 cavitography 显示胆瘘，尽管进行了括约肌切开术、鼻胆管引流和塑料支架置入，但胆汁染色的引流仍未停止。由于患者拒绝手术，我们首次在文献中使用 N-丁基 2-氰基丙烯酸酯栓塞胆瘘。在 3 个月的随访中，患者情况良好，超声、多排螺旋 CT 和 MRI 检查显示囊腔或囊腔周围无积液。
