Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Transl Med. Jul 28, 2026; 12(2): 122417
Published online Jul 28, 2026. doi: 10.5528/wjtm.122417
Published online Jul 28, 2026. doi: 10.5528/wjtm.122417
Endoscopic salvage therapy for refractory cystic duct type A bile leak after cholecystectomy with coil-assisted glue embolization: A case report
Sanil Parekh, Nagesh Kamat, Biswa Ranjan Patra, Sidharth Harindranath, Onkar Pensalwar, Shivdas Medabalmewar, Sehajad Vora, Amit Maydeo, Institute of Gastrosciences, Sir H. N. Reliance Foundation Hospital and Research Centre, Mumbai 400004, Mahārāshtra, India
Author contributions: Parekh S, Kamat N, Patra BR, Harindranath S, Pensalwar O, Medabalmewar S, Vora S, and Maydeo A were involved in the preparation of this manuscript; Kamat N wrote the manuscript; Parekh S, Vora S, and Maydeo A were involved in the procedure; Parekh S, Patra BR, Harindranath S, Pensalwar O, Medabalmewar S, and Maydeo A were involved in the clinical management. All authors approved of the final version of the manuscript.
AI contribution statement: The authors state that no AI tools, including large language models (LLMs) or automated writing assistants, were utilized at any stage of this research. The authors take full responsibility and accountability for all content of this manuscript. AI tools were not used to generate original scientific data, perform independent scientific analyses, or draw scientific conclusions.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Sanil Parekh, Additional Professor, Institute of Gastrosciences, Sir H. N. Reliance Foundation Hospital and Research Centre, Girgaon, Mumbai 400004, Mahārāshtra, India. sanilparekh.sp@gmail.com
Received: April 21, 2026
Revised: May 21, 2026
Accepted: June 24, 2026
Published online: July 28, 2026
Processing time: 102 Days and 15.2 Hours
Revised: May 21, 2026
Accepted: June 24, 2026
Published online: July 28, 2026
Processing time: 102 Days and 15.2 Hours
Core Tip
Core Tip: Persistent high-output cystic duct stump leaks that fail conventional endoscopic stenting pose a significant therapeutic challenge, particularly in elderly patients with multiple comorbidities. For refractory biliary leaks, Spyglass cholangioscopy and percutaneous access enable precise targeting of the leak site. Utilizing a combination of coils and cyanoacrylate glue can achieve complete cessation of high-output drainage when multiple plastic stents have failed, offering a successful solution within the biliary tree and an alternative to high-risk revisional surgery.