Korean J Pancreas Biliary Tract.  2018 Jan;23(1):36-40. 10.15279/kpba.2018.23.1.36.

Biliary-Colonic Fistula after Hepatectomy Treated by Colonoscopic Clipping

  • 1Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. dhpark@amc.seoul.kr


Biliary-colonic fistula is a rare complication after hepatic resection. We present at a case of asymptomatic biliary-colonic fistula that developed 6 months after hepatectomy in a 73-year old female patient. She had been undergoing endoscopic treatment for a postoperative bile leakage, and the fistula was found by follow-up endoscopic retrograde cholangiopancreatography (ERCP). The fistula was formed between the right posterior segmental duct and the colon, and it was closed by colonoscopic clipping under fluoroscopic guidance. There was no recurrence at the 6-week follow-up ERCP.


Fistula; Hepatectomy; Colonoscopy
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