Biliocutaneous Fistula Following Alveolar Hydatid Disease Surgery Treated Successfully With Percutaneous Cyanoacrylate

Percutaneous embolization of refractory biliocutaneous fistula following radiofrequency ablation: A case report

“…Interventional radiologic embolization of fistulas was reported in enterocutaneous fistulas and biliary fistulas [4] . The embolic agents include histoacryl (NBCA), fibrin glue, ethylene vinyl alcohol copolymer (Onyx), coils and covered stent [4] , [5] , [6] , [7] , [8] . Among those embolic agents, NBCA is commonly used, with higher fistula closure rate and no documented complication.…”

“…In our case, we injected NBCA glue to fill the fistula cavity, followed by placing micro-coils to occlude the leaking bile duct. In literature review, 4 cases of biliocutaneous fistulas successfully sealed by interventional radiologic management have been reported [ 4 , 8 , 9 ]. The causes of such fistulas formation include Whipple operation for pancreatic tumor, hepatic surgery for hydatid disease, and prolonged percutaneous biliary drainage.…”

Bilio-cutaneous fistula obliteration with NBCA

“…Different materials have already been studied and tested to seal the biliary tract, in particular fibrin,[11] ethanol,[12] and NBCA. [1213141516]…”

Treatment for resistant subphrenic abscess by combined intracavitary doxycycline and cyanoacrylate injection

“…Such a fistulous system was sealed by repeated fibrin and Histoacryl-sealing through an endoscopically guided catheter. Another case of bileocutaneous fistula following alveolar Hydatid disease surgery treated successfully with percutaneous Cyanoacrylate [4] .…”

“…Cyanoacrylate is a tissue adhesive agent that has been used as treatment modality in many areas of medicine, especially in wound healing and occlusion of different kinds of fistulae as ileocutaneous fistula following alveolar Hydatid disease surgery and bilio-hepatico-cutaneous and bilio-hepatico-phrenico-bronchial fistulae [4,5] .…”