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Bile emboli: a complication of PTD
Journal of Clinical Gastroenterology
|June 1, 1981
Summary
Bile emboli were found in the kidneys and lungs after a patient underwent percutaneous trans-hepatic drainage for bile duct obstruction caused by pancreatic cancer. This case highlights potential complications of the procedure.
Area of Science:
- Gastroenterology and Hepatology
- Interventional Radiology
- Pathology
Background:
- Pancreatic carcinoma can obstruct the common bile duct, leading to complications.
- Percutaneous trans-hepatic drainage (PTD) is a procedure used to relieve such obstructions.
Observation:
- A patient with pancreatic carcinoma underwent PTD for common bile duct obstruction.
- Following the procedure, the patient developed hemobilia and bile peritonitis.
Findings:
- Autopsy revealed the presence of bile emboli in the kidneys and lungs.
- These findings suggest a potential pathway for bile dissemination following PTD.
Implications:
- This case underscores the importance of monitoring for and understanding the potential complications of PTD in patients with biliary obstruction.
- Further research may be warranted to explore the mechanisms and clinical significance of bile embolization.
- Awareness of these complications can aid in patient management and procedural refinement.