Zajko A B, Bron K M, Campbell W L
Cardiovasc Intervent Radiol. 1987;10(1):28-31. doi: 10.1007/BF02583303.
Biliary obstruction and multiple hepatic abscesses occurred in a patient after ligation of a segmental branch of the right hepatic duct. The patient was successfully managed by transhepatic biliary drainage and balloon dilatation of an internal fistula that developed between the ligated duct and a Roux limb of jejunum. Internal biliary fistulas may be dilated using interventional radiologic techniques to permit nonobstructed bile flow. Implications for the nonsurgical treatment of biliary strictures are discussed.
一名患者在右肝管节段性分支结扎后出现胆管梗阻和多发性肝脓肿。通过经皮肝穿刺胆道引流和对结扎胆管与空肠Roux袢之间形成的内瘘进行球囊扩张，成功治疗了该患者。可使用介入放射技术扩张胆道内瘘，以确保胆汁通畅流动。文中讨论了对胆道狭窄非手术治疗的意义。
