Bilio-cutaneous fistula obliteration with NBCA

Biliary fistula and bile leakage are complications that can occur during hepato‐biliary surgery (both open and laparoscopic) and percutaneous biliary intervention. In some cases, spontaneous resolution is documented but more often re‐intervention (surgical or percutaneous) is necessary. We present the case of a male patient who underwent right hepatectomy with bilio‐digestive anastomosis for a cholangiocarcinoma which developed a bilo‐cutaneous fistula through the path of a previously inserted percutaneous transhepatic drainage. Sealing of bilo‐cutaneous fistula was obtained using N‐butil‐Cyanoacrylate. This technique has already been reported in some papers as a useful tool for biliary tree obliteration; however, to our knowledge, no cases describing the use of glue to seal a sub‐cutaneous route are available in literature.