Solitary percutaneous transhepatic biliary drainage tract @entity3 after curative resection of perihilar XXXX : report of a case.

@entity1 @entity1353 @entity5 @entity201 @entity3 @entity255
Percutaneous transhepatic biliary drainage (PTBD) has been widely used, but it has a potential risk of @entity5 spread along the catheter tract. We herein present a case of solitary PTBD tract @entity3 after curative resection of perihilar @entity201 . Initially, endoscopic nasobiliary drainage was done on a 65 year-old female @entity1 , but the @entity255 did not resolve. Thus a PTBD catheter was inserted into the right posterior duct. Right portal vein embolization was also performed. Curative surgery including right hepatectomy and bile duct resection was performed 16 days after PTBD. After 12 months, serum CA19-9 had increased gradually without any symptoms. Finally, a small right pleural @entity3 was found through strict @entity5 surveillance for 6 months. Chemoradiation therapy was performed, but there was no response to treatment. As the @entity5 progressed, she complained of severe @entity1353 and finally died from @entity5 dissemination to the chest and bones 18 months after the first detection of PTBD tract recurrence and 36 months after surgery. No intra-abdominal recurrence was found until the terminal stage. This PTBD tract recurrence was attributed to the PTBD even though it was in place for only 16 days. Although such recurrence is rare, its risk should be taken into account during follow-up of @entity1 who have received PTBD before.
