High Output External Biliary Drainage Leading to Acute Kidney Injury in a Patient with Malignant Obstructive Jaundice: A Rare Case Report

Authors

  • Sristi Singh Patan Academy of Health Sciences, Lalitpur, Nepal
  • Prabeen Ghimire Patan Academy of Health Sciences, Lalitpur, Nepal
  • Samriddha Basnyat Patan Academy of Health Sciences, Lalitpur, Nepal

DOI:

https://doi.org/10.3126/njr.v13i2.59969

Keywords:

Biliary stenting;, Obstructive Jaundice, Percutaneous Transhepatic Biliary Drainage

Abstract

Most patients with malignant obstructive jaundice present to the hospital in an advanced unresectable stage. Percutaneous transhepatic biliary drainage (PTBD) and stenting are the established , safe and effective way of palliative treatment aiming prolongation and improving the quality of the life. We report a rare case of high output external biliary drainage leading to AKI and electrolyte imbalance following insertion of PTB drain. Patient was managed with hemodialysis and subsequent self- expandable metallic stent (SEMS) placement. We highlight the importance of awareness of this complication and need of further studies regarding role of biliary interventions, associated complications and management.

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Author Biographies

Sristi Singh, Patan Academy of Health Sciences, Lalitpur, Nepal

Assistant Professor in Intervention Radiology, Department of Radiology and Imaging 

Prabeen Ghimire, Patan Academy of Health Sciences, Lalitpur, Nepal

Resident, Department of Radiology and Imaging

Samriddha Basnyat, Patan Academy of Health Sciences, Lalitpur, Nepal

Resident, Department of Radiology and Imaging

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Published

2023-11-24

How to Cite

Singh, S., Ghimire, P., & Basnyat, S. (2023). High Output External Biliary Drainage Leading to Acute Kidney Injury in a Patient with Malignant Obstructive Jaundice: A Rare Case Report. Nepalese Journal of Radiology, 13(2), 31–34. https://doi.org/10.3126/njr.v13i2.59969

Issue

Section

Case Reports