Wednesday, December 11, 2013

Stenting a biliary leak

A 35 year old lady had been referred to our center after a bile duct injury during cholecystectomy. A drain and been placed in the sub hepatic space. On ERCP, the placed drainage tube (A: blue arrow) was seen just below the level of confluence (A: yellow arrow). The negative shadows seen in the image are actually air bubbles (A: green arrow). Interestingly, the contrast injected didn't show any leakage per se and went straight into the drainage tube instead. We concluded that the tube must be abutting the biliary tree. A 12 cm 10 French plastic stent was placed to bridge the site of leakage (B: blue arrows).

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