Colonic varices ruptured via drainage catheter after extended right hepatectomy

Extended right hepatectomy was performed on a 69-year-old woman with bile d uct carcinoma of the hepatic hilum. Three weeks after the operation, an abs cess was detected at the resected surface and a drainage catheter was inser ted. The patient was discharged with the drainage catheter in place and fol lowed-up at a local hospital. Three months later, the drainage catheter was removed. Bleeding immediately occurred through the fistula, and fistulogra phy revealed varices. Angiography demonstrated right colonic varices, and t he fistula was embolized with coils. There was no further bleeding. In conc lusion, colonic varices that ruptured via a fistula of a drainage catheter were embolized through the fistula. Embolization of the fistula was useful in stopping the bleeding.