Malignant biliary stenosis treated with two percutaneous stents--case report

• Published in: Chirurgia (Bucharest, Romania : 1990) Vol. 106; no. 5; pp. 649 - 652
• Main Authors: Radovanovic, M, Radojkovic, M, Stojanovic, M, Ristic, S, Stanojevic, G, Jeremic, L, Siric, Z, Rancic, Z, Ilic, B
• Format: Journal Article
• Language: English
• Published: Romania 01.09.2011
• Subjects: Anastomosis, Surgical - adverse effects; Common Bile Duct Neoplasms - complications; Constriction, Pathologic - etiology; Constriction, Pathologic - surgery; Drainage - methods; Female; Humans; Middle Aged; Neoplasm Recurrence, Local - surgery; Palliative Care; Quality of Life; Radiography, Interventional - methods; Retreatment; Stents; Time Factors; Treatment Outcome
• ISSN: 1221-9118

During last three decades interventional radiology became most powerfull tool in palliative treatment of patients with malignant biliary stenosis. We report a case of 62-year-old patient with malignant biliary obstruction caused by recidivant tumor of common bile duct remnant with infiltration of previously created hepaticojejunostomia. Biliary decompression was achieved by placement of two self-expanding metallic stents. In presented patient, due to previous surgery percutaneous approach was mandatory. Also, considering the unresectability of recidivant lesion and poor prognosis, definitive, preferable internal biliary drainage was to be achieved. Therefore the placement of metallic self-expanding stent was the therapeutic method of choice. The aim of percutaneous minimally invasive radiological interventions is to achieve effective biliary decompression with internal bile drainage if possible.