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Korean J Pancreas Biliary Tract > Volume 18(2):2013 > Article
The Korean Journal of Pancreas and Biliary Tract 2013;18(2):48-52. doi: https://doi.org/10.15279/kpba.2013.18.2.48
N-butyl-2 cyanoacrylate 를 이용하여 담관-담즙종 누공을 성공적으로 치료한 1예
전혜경, 김동욱, 김광하, 송근암, 류광덕, 박성오, 문정윤
부산대학교 의학전문대학원 내과학교실
A Case of Biliary-Biloma Fistula that was Treated Successfully by N-butyl-2 Cyanoacrylate
Hye Kyung Jeon, Dong Uk Kim, Gwang Ha Kim, Geun Am Song, Kwang Duck Ryu, Seong Oh Park, Jung Youn Moon
Departments of internal Medicine, Pusan National University school of medicine, Busan, Korea
ABSTRACT
Biloma formation is encountered mainly after surgical or interventional procedures and trauma involving the biliary system. However, there are few reported cases of spontaneous biloma in the literature. Percutaneous and endoscopic modalities provide adequate drainage and may be therapeutic in most cases. However, the drainage procedure cannot sometimes improve these complications accompanying the onset of a biliary fistula. We recently diagnosed a spontaneous infected biloma combined obstructive jaundice. The infected biloma was refractory to endoscopic and percutaneous drainage. We report a case that was complicated by a biliary-biloma fistula with abscess formation and successfully managed with endoscopic intervention using N-butyl-2-cyanoacrylate.
Keywords: biliary fistulas, liver abscess, N-butyl-2-cyanoacrylate
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