Alberto Stagno, Salvatore Silipigni, Marco Tramarin, Socrate Pallio, Antonella Cinquegrani, Francesca Catanzariti, Simona Caloggero, Antonio Bottari
Department of Biomedical Sciences and Morphologic and Functional Imaging, Policlinico "G. Martino'', University of Messina, Via Consolare Valeria 1, 98100 Messina, Italy.
Advanced Diagnostic-Therapeutic Technologies Department, ASST Santi Paolo e Carlo, Via Antonio Rudinì 8, 20142 Milano, Italy.
Radiol Case Rep. 2021 Apr 1;16(6):1315-1319. doi: 10.1016/j.radcr.2021.03.005. eCollection 2021 Jun.
Biliary fistula and bile leakage are complications that can occur during hepato-biliary or intestinal surgery and percutaneous biliary intervention. In some cases, spontaneous resolution is possible but more often re-intervention (surgical or percutaneous) is necessary. We present the case of a 45 y-o male patient who underwent duodenocefalopanreasectomy (Whipple procedure) with bilio-digestive anastomosis for adenoma of the duodenal papilla of Vater, complicated by the formation of a fistula through the bilio-digestive anastomosis. Conservative treatment with percutaneous biliary drainage was attempted in order to promote spontaneous resolution of the fistula. The persistence of the fistula brought the patient to treatment through interventional techniques. Sealing of the bilio-peritoneal fistula was obtained using N-butil-Cyanoacrylate .
胆瘘和胆汁渗漏是肝胆或肠道手术以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，有可能自行缓解，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45岁男性患者，因十二指肠乳头腺瘤接受了十二指肠胰头切除术（惠普尔手术）并进行胆肠吻合术，术后并发通过胆肠吻合口形成瘘管。尝试采用经皮胆道引流进行保守治疗，以促进瘘管自行愈合。瘘管持续存在，导致患者通过介入技术进行治疗。使用N-丁基-氰基丙烯酸酯封闭了胆腹膜瘘。
