Delayed Severe Hemobilia Due to Bilio-venous Fistula After Percutaneous Transhepatic Biliary Drainage: Treatment With Covered Stent Placement

Kumble S Madhusudhan; Nihar R Dash; Adil Afsan; Shivanand Gamanagatti; Deep N Srivastava; Arun K Gupta

doi:10.1016/j.jceh.2016.02.002

Delayed Severe Hemobilia Due to Bilio-venous Fistula After Percutaneous Transhepatic Biliary Drainage: Treatment With Covered Stent Placement

J Clin Exp Hepatol. 2016 Sep;6(3):241-243. doi: 10.1016/j.jceh.2016.02.002. Epub 2016 Feb 26.

Authors

Kumble S Madhusudhan¹, Nihar R Dash², Adil Afsan², Shivanand Gamanagatti¹, Deep N Srivastava¹, Arun K Gupta¹

Affiliations

¹ Department of Radiodiagnosis, All India Institute of Radiodiagnosis, Ansari Nagar, New Delhi 110029, India.
² Department of Gastrointestinal Surgery, All India Institute of Radiodiagnosis, Ansari Nagar, New Delhi 110029, India.

Abstract

Biliovenous fistula occurs due to development of a communication between hepatic duct and portal vein branches and is a rare complication of percutaneous transhepatic biliary drainage (PTBD). Most of them are self-limiting and only occasionally they need interventional management. Placement of biliary stent graft is a viable option. We present here a case of a 56-year-old male with carcinoma of gall bladder presenting with hemodynamic shock due to severe hemobilia after PTBD and treated successfully by biliary covered stent placement.

Keywords: CT, computed tomography; IU, international units; PTBD, percutaneous transhepatic biliary drainage; biliary drainage; biliovenous fistula; hemobilia; porto-biliary fistula; stent graft.