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Updated: Jun 21, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Iatrogenic portobiliary fistula treated by stent-graft placement
Jonathan M Lorenz1, Steven M Zangan, Jeffrey A Leef
1Department of Radiology, The University of Chicago Medical Center, 5841 South Maryland Avenue, MC 2026, Chicago, IL 60637, USA.
Abstract:
Stent-graft exclusion of an ischemic, hilar portobiliary fistula after liver transplantation has not been reported. Isolated reports have described peripheral or nonischemic fistulas, and alternative treatment options have ranged from balloon tamponade to surgical repair. We present a unique case of a hilar portobiliary fistula successfully treated to resolution by unilateral placement of a stent-graft.