987 cholangioscopy with laser recanalization to enable internal biliary drainage

A 58-year-old woman with history of alcohol-associated Child-Pugh class C cirrhosis (MELD 11) complicated by portal hypertension, ascites, encephalopathy, and non-bleeding esophageal varices presented with biliary obstruction, biloma, and high-output percutaneous biliary drainage. She had an enlarging, 1.9-cm, enhancing LIRADS-4 liver lesion (in segment 4A) and underwent CT-guided percutaneous microwave ablation 2 years ago. Ablation was successful but complicated by a recurrent abscess/biloma in the left liver that required a percutaneous transhepatic biliary drain that could not be internalized due to lack of communication with the left or common hepatic ducts.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Oral abstracts Source Type: research