Madhusudhan Kumble S, Dash Nihar R, Afsan Adil, Gamanagatti Shivanand, Srivastava Deep N, Gupta Arun K
Department of Radiodiagnosis, All India Institute of Radiodiagnosis, Ansari Nagar, New Delhi 110029, India.
Department of Gastrointestinal Surgery, All India Institute of Radiodiagnosis, Ansari Nagar, New Delhi 110029, India.
J Clin Exp Hepatol. 2016 Sep;6(3):241-243. doi: 10.1016/j.jceh.2016.02.002. Epub 2016 Feb 26.
Biliovenous fistula occurs due to development of a communication between hepatic duct and portal vein branches and is a rare complication of percutaneous transhepatic biliary drainage (PTBD). Most of them are self-limiting and only occasionally they need interventional management. Placement of biliary stent graft is a viable option. We present here a case of a 56-year-old male with carcinoma of gall bladder presenting with hemodynamic shock due to severe hemobilia after PTBD and treated successfully by biliary covered stent placement.
胆静脉瘘是由于肝管与门静脉分支之间形成交通所致,是经皮经肝胆道引流(PTBD)的一种罕见并发症。大多数胆静脉瘘是自限性的,仅偶尔需要介入治疗。放置胆道支架移植物是一种可行的选择。我们在此报告一例56岁男性胆囊癌患者,该患者在PTBD后因严重胆道出血出现血流动力学休克,经放置带覆膜支架成功治疗。