Spontaneous rupture of intrahepatic bile duct following portal vein embolization in a patient with perihilar cholangiocarcinoma: a case of successful curative resection

We herein present a case of spontaneous rupture of intrahepatic bile duct in a patient with perihilar cholangiocarcinoma, which were successfully treated by curative resection. A 60-year-old male patient with perihilar cholangiocarcinoma was decompressed with single percutaneous transhepatic biliary...

Full description

Bibliographic Details
Main Authors: Chung, Yong-Kyu, Hwang, Shin, Kim, Young-Il, Kang, Cheol-Min, Ko, Gi-Young, Kwon, Dong-Il, Lee, Sung-Koo
Format: Online
Language:English
Published: Korean Association of Hepato-Biliary-Pancreatic Surgery 2013
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4304505/
id pubmed-4304505
recordtype oai_dc
spelling pubmed-43045052015-07-07 Spontaneous rupture of intrahepatic bile duct following portal vein embolization in a patient with perihilar cholangiocarcinoma: a case of successful curative resection Chung, Yong-Kyu Hwang, Shin Kim, Young-Il Kang, Cheol-Min Ko, Gi-Young Kwon, Dong-Il Lee, Sung-Koo Case Report We herein present a case of spontaneous rupture of intrahepatic bile duct in a patient with perihilar cholangiocarcinoma, which were successfully treated by curative resection. A 60-year-old male patient with perihilar cholangiocarcinoma was decompressed with single percutaneous transhepatic biliary drainage. Two days after right portal vein embolization, the patient suffered from paralytic ileus with marked abdominal distension. Imaging study revealed that marked fluid collection around the liver and whole abdomen, suggesting intrahepatic bile duct rupture. With abdominal drainage and biliary decompression for 2 weeks, the biliary rupture was controlled. To enhance the safety of right hepatectomy, additional right hepatic vein embolization was performed. The patient underwent routine surgical procedures for right hepatectomy, caudate lobectomy and bile duct resection, and recovered uneventfully and discharged 18 days after surgery. This is the first report of a case of spontaneous rupture of intrahepatic bile duct in a patient with perihilar cholangiocarcinoma. Korean Association of Hepato-Biliary-Pancreatic Surgery 2013-02 2013-02-28 /pmc/articles/PMC4304505/ /pubmed/26155212 http://dx.doi.org/10.14701/kjhbps.2013.17.1.42 Text en Copyright © 2013 by The Korean Association of Hepato-Biliary-Pancreatic Surgery http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Chung, Yong-Kyu
Hwang, Shin
Kim, Young-Il
Kang, Cheol-Min
Ko, Gi-Young
Kwon, Dong-Il
Lee, Sung-Koo
spellingShingle Chung, Yong-Kyu
Hwang, Shin
Kim, Young-Il
Kang, Cheol-Min
Ko, Gi-Young
Kwon, Dong-Il
Lee, Sung-Koo
Spontaneous rupture of intrahepatic bile duct following portal vein embolization in a patient with perihilar cholangiocarcinoma: a case of successful curative resection
author_facet Chung, Yong-Kyu
Hwang, Shin
Kim, Young-Il
Kang, Cheol-Min
Ko, Gi-Young
Kwon, Dong-Il
Lee, Sung-Koo
author_sort Chung, Yong-Kyu
title Spontaneous rupture of intrahepatic bile duct following portal vein embolization in a patient with perihilar cholangiocarcinoma: a case of successful curative resection
title_short Spontaneous rupture of intrahepatic bile duct following portal vein embolization in a patient with perihilar cholangiocarcinoma: a case of successful curative resection
title_full Spontaneous rupture of intrahepatic bile duct following portal vein embolization in a patient with perihilar cholangiocarcinoma: a case of successful curative resection
title_fullStr Spontaneous rupture of intrahepatic bile duct following portal vein embolization in a patient with perihilar cholangiocarcinoma: a case of successful curative resection
title_full_unstemmed Spontaneous rupture of intrahepatic bile duct following portal vein embolization in a patient with perihilar cholangiocarcinoma: a case of successful curative resection
title_sort spontaneous rupture of intrahepatic bile duct following portal vein embolization in a patient with perihilar cholangiocarcinoma: a case of successful curative resection
description We herein present a case of spontaneous rupture of intrahepatic bile duct in a patient with perihilar cholangiocarcinoma, which were successfully treated by curative resection. A 60-year-old male patient with perihilar cholangiocarcinoma was decompressed with single percutaneous transhepatic biliary drainage. Two days after right portal vein embolization, the patient suffered from paralytic ileus with marked abdominal distension. Imaging study revealed that marked fluid collection around the liver and whole abdomen, suggesting intrahepatic bile duct rupture. With abdominal drainage and biliary decompression for 2 weeks, the biliary rupture was controlled. To enhance the safety of right hepatectomy, additional right hepatic vein embolization was performed. The patient underwent routine surgical procedures for right hepatectomy, caudate lobectomy and bile duct resection, and recovered uneventfully and discharged 18 days after surgery. This is the first report of a case of spontaneous rupture of intrahepatic bile duct in a patient with perihilar cholangiocarcinoma.
publisher Korean Association of Hepato-Biliary-Pancreatic Surgery
publishDate 2013
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4304505/
_version_ 1613180203422449664