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CardioVascular and Interventional Radiology

, Volume 34, Supplement 2, pp 266–270 | Cite as

Refractory Cystobiliary Fistula Secondary to Percutaneous Treatment of Hydatid Cyst: Treatment with N-Butyl 2-Cyanoacrylate Embolization

  • Murat CanyigitEmail author
  • Mehmet Gumus
  • Nurdan Cay
  • Bekir Erol
  • Mustafa Karaoglanoglu
  • Okan Akhan
Case Report

Abstract

A 27-year-old female with a type 2 hydatid cystic lesion in the liver according to the Gharbi classification (CE 3A according to the WHO classification) was referred for percutaneous treatment after albendazole treatment for 1 year. A catheterization technique was performed but hypertonic saline and alcohol were not given into the cavity due to cystobiliary leakage. During the 4-month follow-up period, sequential cavitography revealed biliary fistula, and bile-stained drainage had not been ceased despite the sphincterotomy, nasobiliary drainage catheter, and plastic stent. Since the patient refused to surgery, we embolized the biliary fistula using N-butyl 2-cyanoacrylate for the first time in the literature. At the 3-month follow-up, the patient’s course was uneventful and ultrasound, multidetector-row CT, and MRI examinations revealed no collection in or adjacent to the cavity.

Keywords

Hydatid cyst Fistula Percutaneous treatment Glue Embolization 

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Copyright information

© Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2010

Authors and Affiliations

  • Murat Canyigit
    • 1
    Email author
  • Mehmet Gumus
    • 1
  • Nurdan Cay
    • 1
  • Bekir Erol
    • 1
  • Mustafa Karaoglanoglu
    • 1
  • Okan Akhan
    • 2
  1. 1.Department of RadiologyAnkara Ataturk Education and Research HospitalAnkaraTurkey
  2. 2.Department of RadiologyHacettepe University HospitalsAnkaraTurkey

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