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CASE REPORT Table of Contents   
Year : 2019  |  Volume : 29  |  Issue : 3  |  Page : 310-312
Bilio-cutaneous fistula obliteration with NBCA

1 Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy
2 Department of Diagnostic Imaging and Radiotherapy, University Hospital ”G. Martino”, Messina, Italy

Correspondence Address:
Dr. Antonio Bottari
Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Viale Gazzi, Messina
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijri.IJRI_16_19

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Biliary fistula and bile leakage are complications that can occur during hepato-biliary surgery (both open and laparoscopic) and percutaneous biliary intervention. In some cases, spontaneous resolution is documented but more often re-intervention (surgical or percutaneous) is necessary. We present the case of a male patient who underwent right hepatectomy with bilio-digestive anastomosis for a cholangiocarcinoma which developed a bilo-cutaneous fistula through the path of a previously inserted percutaneous transhepatic drainage. Sealing of bilo-cutaneous fistula was obtained using N-butil-Cyanoacrylate. This technique has already been reported in some papers as a useful tool for biliary tree obliteration; however, to our knowledge, no cases describing the use of glue to seal a sub-cutaneous route are available in literature.

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