Interventional radiology in percutaneous management of bile duct obstruction: Biliary drainage through a spontaneous common hepatic duct-duodenal fistula

Bile duct injuries are a serious complication of biliary surgery. We report a case of benign obstruction of the common hepatic duct associated with co mmon hepatic duct-duodenal spontaneous fistula following complex surgical i ntervention. We managed percutaneously the fistula with balloon dilatation and long-term stenting, as the fistula allowed biliary flow in the duodenum . We avoided reintervention preserving biliary flow, with good clinical res ults after a follow-up of 3 years. We emphasize the role of a clinically fo cused approach 50 percutaneous management of complications following biliar y surgery. (C) Elsevier Science Inc., 1999.