Bottari Antonio, Silipigni Salvatore, Stagno Alberto, Caloggero Simona
Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy.
Department of Diagnostic Imaging and Radiotherapy, University Hospital "G. Martino", Messina, Italy.
Indian J Radiol Imaging. 2019 Jul-Sep;29(3):310-312. doi: 10.4103/ijri.IJRI_16_19. Epub 2019 Oct 30.
Biliary fistula and bile leakage are complications that can occur during hepato-biliary surgery (both open and laparoscopic) and percutaneous biliary intervention. In some cases, spontaneous resolution is documented but more often re-intervention (surgical or percutaneous) is necessary. We present the case of a male patient who underwent right hepatectomy with bilio-digestive anastomosis for a cholangiocarcinoma which developed a bilo-cutaneous fistula through the path of a previously inserted percutaneous transhepatic drainage. Sealing of bilo-cutaneous fistula was obtained using N-butil-Cyanoacrylate. This technique has already been reported in some papers as a useful tool for biliary tree obliteration; however, to our knowledge, no cases describing the use of glue to seal a sub-cutaneous route are available in literature.
胆瘘和胆汁渗漏是肝胆手术（包括开腹手术和腹腔镜手术）及经皮胆道介入治疗过程中可能出现的并发症。在某些情况下，有自发缓解的记录，但更常见的是需要再次干预（手术或经皮介入）。我们报告一例男性患者，该患者因胆管癌接受了右肝切除术并进行了胆肠吻合术，术后通过先前插入的经皮经肝引流通道形成了胆皮瘘。使用N-丁基-氰基丙烯酸酯封闭了胆皮瘘。该技术在一些文献中已有报道，是用于闭塞胆道树的一种有用工具；然而，据我们所知，文献中尚无使用胶水封闭皮下通道的病例。
