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Emergency percutaneous treatment in surgical bile duct injury

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Abstract

The aim of this study is to evaluate the efficacy of emergency percutaneous treatment in patients with surgical bile duct injury (SBDI). From May 2004 to May 2007, 11 patients (five men, six women; age range 26–80 years; mean age 58 years) with a critical clinical picture (severe jaundice, bile peritonitis, septic state) due to SBDI secondary to surgical or laparoscopic procedures were treated by percutaneous procedures. We performed four ultrasound-guided percutaneous drainages, four external–internal biliary drainages, one bilioplasty, and two plastic biliary stenting after 2 weeks of external–internal biliary drainage placement. All procedures had 100% technical success with no complications. The clinical emergencies resolved in 3–4 days in 100% of cases. All patients had a benign clinical course, and reoperation was avoided in 100% of cases. Interventional radiological procedures are effective in the emergency management of SBDI since they are minimally invasive and have a high success rate and a low incidence of complications compared to the more complex and dangerous surgical or laparoscopic options.

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Authors and Affiliations

  1. Department of Radiology, University of Insubria, 21100, Varese, Italy

    Gianpaolo Carrafiello, Domenico Laganà, Massimiliano Dizonno, Andrea Ianniello, Elisa Cotta & Carlo Fugazzola

  2. Department of Surgical Sciences, University of Insubria, 21100, Varese, Italy

    Gianlorenzo Dionigi & Renzo Dionigi

Authors
  1. Gianpaolo Carrafiello
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  2. Domenico Laganà
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  3. Massimiliano Dizonno
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  4. Andrea Ianniello
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  5. Elisa Cotta
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  6. Gianlorenzo Dionigi
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  7. Renzo Dionigi
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  8. Carlo Fugazzola
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Correspondence to Massimiliano Dizonno.

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Carrafiello, G., Laganà, D., Dizonno, M. et al. Emergency percutaneous treatment in surgical bile duct injury. Emerg Radiol 15, 335–341 (2008). https://doi.org/10.1007/s10140-008-0719-0

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  • DOI: https://doi.org/10.1007/s10140-008-0719-0

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