EUS-guided rendezvous technique for refractory benign biliary?stricture caused by postoperative bile-duct injury

摘要

A 60-year-old man underwent right-sided liver lobectomy in another hospital for multiple liver metastasesfrom an ascending colon cancer. After surgery, bile leakageand cholangitis occurred because of postoperativebile-duct injury (Fig. 1A). A percutaneous tube and anendoscopic transpapillary drainage tube had been placedin the bile leakage cavity at the previous hospital.However, bile juice drained continuously through thepercutaneous tube, and bile leakage did not improve(Fig. 1B). For further endoscopic treatment, the patientwas referred to our institution.