A number of techniques of surgical endoscopy have been used in the management of a
post-traumatic biliary fistula. The endoscopic sphincterotomy with placement of a
perfused nasobiliary catheter, followed by the insertion of a biliary stent allowed
the fistula to dry out. A secondary stricture of the left hepatic duct was treated
by endoscopic internal drainage after the insertion of a transhepatic guidewire by
an epigastric route. This kind of combined transhepatic and endoscopic procedure is
useful in some difficult cases.
Biliary fistula - Endoprosthesis - ERCP - Endoscopic sphincterotomy