PMC3354350_01
Cholangiogram shows biliary leakage (arrows) after conservative treatment
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F1
Conservative treatment was attempted, with maintenance of internal drainage for 15 days, but the leakage associated with a biloma persisted internally [Figure 1].
Superselective embolization of biliary leakage with NBCA (arrows)
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F2
Embolization was performed with three fibered 0.018-inch platinum micro-coils (VortX ; Boston Scientific) with nominal configured diameters of 2 mm x 3 mm, pushed with saline solution injection. Aulnay-sous-Bois, France) in a ratio of 1:2 for opacification, was injected [Figure 2]. A total of 2 ml of NBCA was administered.
Postprocedural cholangiogram shows the disappearance of the leakage (arrows)
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F3
Embolization was performed with three fibered 0.018-inch platinum micro-coils (VortX ; Boston Scientific) with nominal configured diameters of 2 mm x 3 mm, pushed with saline solution injection. A postprocedural cholangiogram confirmed the absence of any complication and the disappearance of the leakage [Figure 3].
Cholangiogram performed after 3 months shows the absence of recurrence. The drainage was removed
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F4
At the last follow-up visit (3 months after the procedure), the drainage was removed, and no evidence of recurrence was noticed [Figure 4], and also biloma was reabsorbed.