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

Journal Article · Tue Feb 15 00:00:00 EST 2011 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-009-9790-5· OSTI ID:21608784

Canyigit, Murat; Gumus, Mehmet; Cay, Nurdan; Erol, Bekir; Karaoglanoglu, Mustafa ^[1]; Akhan, Okan ^[2]

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1. Ankara Ataturk Education and Research Hospital, Department of Radiology (Turkey)
2. Hacettepe University Hospitals, Department of Radiology (Turkey)

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.

• OSTI ID: 21608784
• Journal Information: Cardiovascular and Interventional Radiology, Vol. 34, Issue 2; Other Information: DOI: 10.1007/s00270-009-9790-5; Copyright (c) 2011 Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
BILE
CAVITIES
CLASSIFICATION
CYSTS
FEMALES
LIVER
NMR IMAGING
PATIENTS
PLASTICS
REFRACTORIES
SURGERY
BIOLOGICAL MATERIALS
BODY
BODY FLUIDS
DIAGNOSTIC TECHNIQUES
DIGESTIVE SYSTEM
GLANDS
MATERIALS
MEDICINE
ORGANIC COMPOUNDS
ORGANIC POLYMERS
ORGANS
PATHOLOGICAL CHANGES
PETROCHEMICALS
PETROLEUM PRODUCTS
POLYMERS
SYNTHETIC MATERIALS