2018 Volume 60 Issue 11 Pages 2401-2406
We describe a case of hepatic biloma that was treated with the rendezvous method. The case was a 49-year-old female. Hepatic resection was performed for metastatic liver cancer. Five months later, the patient presented to our hospital with a fever. Computed tomography revealed that bile was leaking and that the posterior branch of the intrahepatic bile duct had ruptured at the point where it joins the common bile duct.
Drainage by an endoscopic procedure was not possible. Therefore, percutaneous transhepatic biliary drainage (PTBD) was performed. A guidewire was advanced into the site of the biliary leakage via the PTBD tube. Then, a free end of the guidewire was grasped with a trans-papillary delivered forceps at the leakage site and passed through the working channel of the duodenoscope. Eventually, a catheter could be successfully inserted over the guidewire into the posterior branch through the papilla.
