1Almamoon I. Justaniah, 2Sami Boshnaq

1King Faisal Specialist Hospital & Research Center, Jeddah, Saudi Arabia; 2Annor Specialist Hospital, Makkah, Saudi Arabia

 

Purpose:

To present a case of sectoral duct injury post cholecystectomy managed by percutaneous drainage and chemical biliary ablation.

Material(s) and Method(s):

A 23-year-old female presented with bile leak secondary to sectoral duct injury post cholecystectomy. The patient was referred to interventional radiology for a temporary percutaneous transhepatic biliary drainage (PTBD), followed by right hepatectomy, given the site and extent of injury. However, the patient was managed by PTBD, followed by chemical bile duct ablation using absolute alcohol.

Result(s):

The treatment was concluded after 8 sessions when there was no more output from the PTBD. The PTBD was removed after 5 months without complications. The patient is doing well for the last 2 years and no surgery was performed.

Conclusion(s):

Chemical biliary ablation can help induce biliary fibrosis to prevent biliary leak, recurrent cholangitis, and avoid further surgeries.