A CASE OF MALIGNANT LYMPHOMA IN THE HILUS HEPATIS WITH REFRACTORY BILIARY LEAKAGE AFTER SURGERY SUCCESSFULLY MANAGED BY ENDOSCOPIC NASO-BILIARY DRAINAGE (ENBD) STENTING

Abstract

We present a case of refractory biliary leakage after surgery successfully managed by ENBD stenting. A 46-year-old male was operated on for malignant lymphoma in the hilus hepatis. Cholecystectomy and lymphnode dissection were done. On the first postoperative day (POD), substantial biliary leakage from the abdominal drain occurred and was not reduced. Then endoscopic retrograde cholangiography (ERC) was performed on the 13 POD, and extravasation of the contrast from the right posterior branch of the bile duct was seen. Immediately, endoscopic naso-biliary drainage (ENBD) was done and a 7.2 Fr. drainage tube was placed bridging the extravasation.