Percutaneous Diagnosis and Treatment of Biliary Candidiasis

Abstract

Abbreviations: CBD common bile duct, CHD common hepatic duct BILIARY tract candidiasis is a rare but reported cause of cholangitis and biliary obstruction. Most cases of intestinal tract seeding (hepatosplenic candidiasis) occur in the setting of chronic disseminated candidiasis, which most often occurs in patients with acute leukemia who are recovering from profound neutropenia (1). The majority of reported cases of biliary tract seeding, however, do not have concomitant systemic infection. We present a patient without disseminated infection who developed biliary obstruction due to Candida albicans infection. Percutaneous transhepatic techniques allowed determination of the cause and treatment of the obstruction through mechanical debulking of the fungal mass and controlled infusion of intrabiliary amphotericin B.