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Updated: Oct 2, 2025

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Endoscopic Coil Embolization for Refractory Intrahepatic Biliary Duct Leak.

Barbara Dutra¹, Macartney Welborn¹, Nirav C Thosani¹

¹Department of Internal Medicine, University of Texas Health Science Center at Houston, Houston, TX.

ACG Case Reports Journal

|February 28, 2022

Summary

Endoscopic coil embolization offers a new treatment for persistent bile leaks unresponsive to initial endoscopic therapies. This minimally invasive approach can manage complex biliary leaks following liver trauma.

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Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery

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Published on: February 10, 2023

Area of Science:

Gastroenterology
Interventional Radiology
Hepatobiliary Surgery

Background:

Bile leaks are complications of trauma and surgery.
Endoscopic treatments like stenting are common initial interventions.
Management of persistent bile leaks after initial endoscopic therapy is challenging.

Observation:

A patient with a grade IV liver laceration from a gunshot wound developed a refractory bile leak.
Initial endoscopic treatment with sphincterotomy and stent placement failed.

Findings:

Endoscopic coil embolization was successfully used to treat the refractory bile leak.
This case demonstrates a novel application of coil embolization for complex biliary leaks.

Implications:

Endoscopic coil embolization is a viable option for managing persistent biliary leaks.
This technique may reduce the need for more invasive procedures.
Further research is needed to establish its role in clinical practice.