Successful Percutaneous Transhepatic Embolization of the Bronchobiliary Fistula Secondary to Biloma Using n-Butyl Cyanoacrylate and Microcoils

Abstract

Introduction: Bronchobiliary fistula (BBF) is a rare, but serious disease; therefore, early diagnosis and treatment are essential. Recently, the use of a minimally invasive procedure that directly embolizes the BBF has emerged as a useful therapeutic alternative for conventional treatments, such as drainage tube insertion or fistulectomy. Case Presentation: Here, we report a case of a 56-year-old man, who was successfully treated with percutaneous transhepatic embolization using n-butyl cyanoacrylate and microcoils and was symptom-free for two years after the procedure. Conclusion: Percutaneous transhepatic embolization can be a successful alternative option for the treatment of BBF. Improved outcomes are expected in long-term follow-ups, especially when n-butyl cyanoacrylate and microcoils are used together.