Long-Term Patency of Metallic Stents in a Patient with Bile Duct Injury Refractory to Long-Term Catheter Placement Following Right Hepatectomy for Liver Metastasis

Abstract

We report a case of bile duct injury at the bile duct confluence after right hepatectomy for metastatic colonic carcinoma. The leak and stricture failed to heal despite the placement of a 10-16-F transhepatic biliary drainage catheter for 8 weeks to bridge the leak site. Subsequently, two bare metallic stents were placed; however, the leak and stricture recurred 282 days after stent placement. Even a covered metallic stent did not function well because of stent kinking, and an additional bare stent was required to support the kinked stented lumen. After final stent placement, the stents were patent, and the patient had maintained a favorable course for 10 years and 1 month, at the time of writing this manuscript.