A percutaneous biliary anastomotic reconstruction for a failed Roux-en-Y hepaticojejunostomy in a patient with cholangiocarcinoma: A case report.

We hereby report a case of a novel percutaneous biliary anastomotic reconstruction of a disconnected segment 2 bile duct to the roux limb in a patient with cholangiocarcinoma suffering from bile leak post trisegmentectomy and roux-en-y hepaticojejunostomy. The patient was not a candidate for surgical reanastomosis and was suffering from repeated episodes of cholangitis prior to our intervention. We were successfully able to resolve the patient's biliary symptoms and need for an external biliary collection bag using our technique. The patient's case and the details of our intervention with relevant imaging is discussed. A review on the management of biliary leak following roux-en-y hepaticojejunostomy is also included.