| Hepatic parenchymal atrophy induction for intractable segmental bile duct injury after liver resection. | |
| | |
MedLine Citation:
|
PMID: 22469733 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Liver resection can result in various types of bile duct injuries but their treatment is usually difficult and often leads to intractable clinical course. We present an unusual case of hepatic segment III duct (B3) injury, which occurred after left medial sectionectomy for large hepatocellular carcinoma and was incidentally detected 1 week later due to bile leak. Since the pattern of this B3 injury was not adequate for operative biliary reconstruction, atrophy induction of the involved hepatic parenchyma was attempted. This treatment consisted of embolization of the segment III portal branch to inhibit bile production, induction of heavy adhesion at the bile leak site and clamping of the percutaneous transhepatic biliary drainage (PTBD) tube to accelerate segment III atrophy. This entire procedure, from liver resection to PTBD tube removal took 4 months. This patient has shown no other complication or tumor recurrence for 4 years to date. These findings suggest that percutaneous segmental portal vein embolization, followed by intentional clamping of external biliary drainage, can effectively control intractable bile leak from segmental bile duct injury. |
| | |
Authors:
|
Shin Hwang; Gil-Chun Park; Tae-Yong Ha; Gi-Young Ko; Dong-Il Gwon; Young-Il Choi; Gi-Won Song; Sung-Gyu Lee |
Related Documents
:
|
11552733 - Use of a balloon-expandable, radially reinforced eptfe endograft after remote sfa endar... 9738113 - Endoscopy and stereotaxy for aneurysms. 19652653 - Diagnosis and management of acute cholangitis. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Hepato-gastroenterology Volume: 59 ISSN: 0172-6390 ISO Abbreviation: Hepatogastroenterology Publication Date: 2012 May-Jun |
Date Detail:
|
Created Date: 2012-04-03 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8007849 Medline TA: Hepatogastroenterology Country: Greece |
Other Details:
|
Languages: eng Pagination: 866-8 Citation Subset: IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Successful case with hemophagocytic syndrome after living donor liver transplantation.
Next Document: Treatment of rapid weight loss in a donor with hepatic steatosis in living donor liver transplantati...