A minimally invasive technique utilizing percutaneous and endoscopic rendezvous for successful treatment of a proximal bile leak following partial hepatectomy

A 43-year-old woman presented with a grade B [1] bile leak after right hepatectomy for metastatic colon cancer. She developed subhepatic bilomas which were managed with percutaneous drains. Endoscopic retrograde cholangiography (ERC) demonstrated a high-grade bile leak secondary to a large defect in the left hepatic duct, possibly due to complete dehiscence of the staple line of the right hepatic bile duct. Despite placement of a fully covered...