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CardioVascular and Interventional Radiology

, Volume 28, Issue 6, pp 828–831 | Cite as

Bronchobiliary Fistula Treated by Self-expanding ePTFE-Covered Nitinol Stent-Graft

  • Roberto Gandini
  • Daniel KondaEmail author
  • Giuseppe Tisone
  • Vincenzo Pipitone
  • Alessandro Anselmo
  • Giovanni Simonetti
CASE REPORT

Abstract

A 71-year-old man, who had undergone right hepatectomy extended to the caudate lobe with terminolateral Roux-en-Y left hepatojejunostomy for a Klatskin tumor, developed bilioptysis 3 weeks postoperatively due to bronchobiliary fistula. Percutaneous transhepatic cholangiography revealed a non-dilated biliary system with contrast medium extravasation to the right subphrenic space through a resected anomalous right posterior segmental duct. After initial unsuccessful internal-external biliary drainage, the fistula was sealed with a VIATORR covered self-expanding nitinol stent-graft placed with its distal uncovered region in the hepatojejunal anastomosis and the proximal ePTFE-lined region in the left hepatic duct. A 10-month follow-up revealed no recurrence of bilioptysis and confirmed the complete exclusion of the bronchobiliary fistula.

Keywords

Bilioptysis Bronchobiliary fistula Cholangiocarcinoma Covered stent Jejunostomy 

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Copyright information

© Springer Science+Business Media, Inc. 2005

Authors and Affiliations

  • Roberto Gandini
    • 1
  • Daniel Konda
    • 1
    Email author
  • Giuseppe Tisone
    • 2
  • Vincenzo Pipitone
    • 1
  • Alessandro Anselmo
    • 2
  • Giovanni Simonetti
    • 1
  1. 1.Department of Diagnostic Imaging and Interventional RadiologyUniversity of Tor VergataRomeItaly
  2. 2.Department of SurgeryUniversity of Tor VergataRomeItaly

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