[Lateral transparietal cholangiography. Okuda's technic. Remarks apropos of 111 examinations].
The diagnosis of proctated jaundice is done in 50% of all cases by clinical examination; in 30% of all cases by peritoneoscopy; in the other 20% instrumental opacification of the biliary tract is required (before the laparotomy) in order to determine the site and the nature of the cholestasis. Among these instrumental devices, a transhepatic cholangiography with the Okuda needle allows biliary tract opacification in 98% of all cases if the obstacle is extra-hepatic and in 69% of all cases if the obstacle is intra-hepatic. This technique is easy to perform, without danger, and readily available to any physician. It should be performed after the peritoneoscopy and before the retrograde cholangiography.
D001653:Bile Ducts, Intrahepatic / Q000000981:diagnostic imaging; D002758:Cholangiography / Q000009:adverse effects / Q000379:methods*; D002779:Cholestasis / Q000000981:diagnostic imaging / Q000209:etiology; D003287:Contrast Media / Q000008:administration & dosage; D003937:Diagnosis, Differential; D006801:Humans; D008099:Liver / Q000098:blood supply; D009339:Needles; D011169:Portal Vein / Q000000981:diagnostic imaging; D011677:Punctures / Q000379:methods
D003287:Contrast Media
Cholangiographie transpariétale latérale. Technique d'Okuda. Réflexions à propos de 111 examens