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Int J Gastrointest Interv. 2019 Jan;8(1):41-44. English. Case Report. https://doi.org/10.18528/ijgii180037
Wnuk N , Pabon-Martinez AM , Mahvash A , Chintalapani G , Aloia TA , Odisio BC .
MD Anderson Cancer Center, Houston, TX, USA. nathan.wnuk@gmail.com
Department of Vascular and Interventional Radiology, MD Anderson Cancer Center, Houston, TX, USA.
Siemens Medical Solutions USA Inc., Hoffman Estates, IL, USA.
Department of Surgical Oncology, Division of Surgery, MD Anderson Cancer Center, Houston, TX, USA.
Abstract

We describe the creation of a percutaneous transhepatic bilioenteric neoanastomosis with the aid of cone-beam computed tomography (CBCT) in a patient suffering from a complicated bile leak after extensive hepatobiliary surgery. Access to the afferent bowel limb was safely performed in a single-stick manner via transhepatic approach with the aid of real-time navigation fluoroscopic imaging generated by CBCT arteriography. CBCT confirmed access of the afferent limb and absence of peri-anastomotic vessel damage, allowing the successful creation of a bilioenteric neoanastomosis, resolving the patient's biliary leak. The patient is alive and asymptomatic at 12-month follow-up, demonstrating patency of the percutaneous bilioenteric neoanastomosis.

Copyright © 2019. Korean Association of Medical Journal Editors.