title: Percutaneous transhepatic choledochoenterostomy in a patient with a biliary obstruction.
abstract: A needle guide was used to create a fistula from an obstructed common bile duct to the duodenum in a patient with a large tumor of the head of the pancreas. The tortuosity and severity of the stricture prevented the use of routine guide wire passage. A 5-F hyperalimentation catheter was also placed, in addition to the biliary drainage stent.
mesh_terms: D000368:Aged; D002404:Catheterization; D002779:Cholestasis / Q000000981:diagnostic imaging / Q000601:surgery*; D003135:Common Bile Duct / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D005402:Fistula; D006801:Humans; D007421:Intestine, Small / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography