AI Article Synopsis

  • - A 79-year-old man experienced complications after laparoscopic gallbladder surgery, having abdominal pain and bile leaking from a catheter.
  • - An endoscopic procedure revealed a leak in the cystic duct, but attempts to seal it with a metal stent were unsuccessful.
  • - The team then used an innovative method involving percutaneous embolization with coils and gelatin sponge to successfully address the leakage, a technique not previously documented.

Article Abstract

A case of a 79-year-old man, status post laparoscopic cholecystectomy with a drainage catheter placed at the gallbladder fossa is presented. The case was complicated postoperatively by abdominal pain and bilious discharge from the drainage catheter. Endoscopic retrograde cholangio-pancreatography demonstrated leakage through the cystic duct stump into the gallbladder fossa. Placement of a covered metal stent endoscopically failed to seal the leak. We performed percutaneous embolization of the cystic duct stump using a combination of coils and gelatin sponge through the drainage catheter in the gallbladder fossa. To our knowledge, this technique has not been previously described in the literature.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5823386PMC
http://dx.doi.org/10.1016/j.radcr.2017.06.013DOI Listing

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