KMID : 0985520130180020048
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Korean Journal of Pancreas and Biliary Tract 2013 Volume.18 No. 2 p.48 ~ p.52
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A Case of Biliary-Biloma Fistula that was Treated Successfully by N-butyl-2 Cyanoacrylate
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Jeon Hye-Kyung
Kim Dong-Uk Kim Gwang-Ha Song Geun-Am Ryu Kwang-Duck Park Seong-Oh Moon Jung-Youn
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Abstract
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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.
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KEYWORD
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biliary fistulas, liver abscess, N-butyl-2-cyanoacrylate
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