Abstract
Biliary complications, such as leaks and obstructions, pose significant postoperative
challenges, especially when endoscopic access is unfeasible. This case report highlights
the exclusive use of a percutaneous technique to establish an extra-anatomical biliodigestive
anastomosis for a persistent biliary leak from an excluded right posterior bile duct
following pancreaticoduodenectomy. A transhepatic approach was employed, redirecting
bile flow via an internal-external drain and later stenting, achieving symptom resolution
without surgical reintervention. This technique might be a viable alternative for
managing complex biliary leaks, leveraging percutaneous methods to restore continuity.
Long-term follow-up confirmed its success, suggesting further investigation into its
safety and efficacy.
Keywords
interventional radiology - biliary drainage - cancer
