Ultrasonically guided percutaneous transhepatic transcholecystocholangiography in the nondilated biliary tree.
Five patients with CT or ultrasound-proven nondilated intrahepatic biliary radicles underwent ultrasound-guided percutaneous transhepatic transcholecystocholangiography (PTHTCC) for visualization of the biliary tree following failed endoscopic retrograde cholangiography. In no instance were more than 2 passes of a 22-gauge needle necessary to enter the gallbladder. Visualization of the biliary tree was excellent in all cases, and there were no complications. Therefore, PTHTCC is a safe and reliable method of visualizing the nondilated biliary tree.
D000328:Adult; D001653:Bile Ducts, Intrahepatic / Q000000981:diagnostic imaging* / Q000473:pathology; D002758:Cholangiography / Q000379:methods*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002765:Cholecystography; D004108:Dilatation, Pathologic; D005260:Female; D006801:Humans; D008105:Liver Cirrhosis, Biliary / Q000175:diagnosis / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D011677:Punctures; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography