Interventional radiology in percutaneous management of bile duct obstruction:: Biliary drainage through a spontaneous common hepatic duct-duodenal fistula

Bile duct injuries are a serious complication of biliary surgery. We report a case of benign obstruction of the common hepatic duct associated with common hepatic duct-duodenal spontaneous fistula following complex surgical intervention. We managed percutaneously the fistula with balloon dilatation and long-term stenting, as the fistula allowed biliary flow in the duodenum. We avoided reintervention preserving biliary flow, with good clinical results after a follow-up of 3 years. We emphasize the role of a clinically focused approach to percutaneous management of complications following biliary surgery.