successful percutaneous transhepatic embolization of the bronchobiliary fistula secondary to biloma using n-butyl cyanoacrylate and microcoils

Bronchobiliary fistula (bbf) is a rare, but serious disease; therefore, early diagnosis and treatment are essential. recently, the use of a minimally invasive procedure that directly embolizes the bbf has emerged as a useful therapeutic alternative for conventional treatments, such as drainage tube insertion or fistulectomy. here, we report a case of a 56-year-old man, who was successfully treated with percutaneous transhepatic embolization using n-butyl cyanoacrylate and microcoils and was symptom-free for two years after the procedure. percutaneous transhepatic embolization can be a successful alternative option for the treatment of bbf. improved outcomes are expected in long-term follow-ups, especially when n-butyl cyanoacrylate and microcoils are used together.