Iatrogenic Portobiliary Fistula Treated by Stent-Graft Placement

Stent-graft exclusion of an ischemic, hilar portobiliary fistula after liver transplantation has not been reported. Isolated reports have described peripheral or nonischemic fistulas, and alternative treatment options have ranged from balloon tamponade to surgical repair. We present a unique case of...

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Veröffentlicht in:	Cardiovascular and interventional radiology 2010-04, Vol.33 (2), p.421-424
Hauptverfasser:	Lorenz, Jonathan M., Zangan, Steven M., Leef, Jeffrey A., Van Ha, Thuong G.
Format:	Artikel
Sprache:	eng
Schlagworte:	Anastomosis, Surgical - adverse effects Anastomosis, Surgical - methods Arterial Occlusive Diseases - diagnostic imaging Arterial Occlusive Diseases - surgery Balloon Occlusion - methods Biliary Fistula - diagnostic imaging Biliary Fistula - etiology Biliary Fistula - therapy BODY Cardiology Case Report DIGESTIVE SYSTEM FISTULAE Follow-Up Studies GLANDS Graft Survival GRAFTS Hepatic Artery - diagnostic imaging Hepatic Duct, Common Humans Iatrogenic Disease Imaging LIVER Liver Cirrhosis - complications Liver Cirrhosis - diagnosis Liver Cirrhosis - surgery Liver Diseases - diagnostic imaging Liver Diseases - etiology Liver Diseases - therapy Liver Failure - complications Liver Failure - diagnosis Liver Failure - surgery Liver Transplantation - adverse effects Liver Transplantation - methods Male MEDICINE Medicine & Public Health Middle Aged Nuclear Medicine ORGANS PATHOLOGICAL CHANGES Portal System - diagnostic imaging Radiography, Interventional - methods Radiology RADIOLOGY AND NUCLEAR MEDICINE REPAIR Risk Assessment Stents SURGERY Thrombectomy - adverse effects Thrombectomy - methods Tomography, X-Ray Computed TRANSPLANTS Treatment Outcome TUBES Ultrasound
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Beschreibung
Zusammenfassung:	Stent-graft exclusion of an ischemic, hilar portobiliary fistula after liver transplantation has not been reported. Isolated reports have described peripheral or nonischemic fistulas, and alternative treatment options have ranged from balloon tamponade to surgical repair. We present a unique case of a hilar portobiliary fistula successfully treated to resolution by unilateral placement of a stent-graft.
ISSN:	0174-1551 1432-086X
DOI:	10.1007/s00270-009-9642-3