Percutaneous hepaticogastrostomy in a patient with complete common duct obstruction after right hepatectomy.
Complete bile duct obstruction that cannot be traversed by a guide wire can be challenging for the interventional radiologist. Although hepaticogastrostomy, which can be an alternative for such cases, has been performed under fluoroscopic and endoscopic guidance previously, this technique can be simplified by using only fluoroscopy. This technique was used in a patient who had complete common bile duct obstruction after hepatic resection. The patient initially had a good clinical outcome and stayed symptom-free for 5 months but eventually developed biliary epithelial hyperplasia and required placement of another metallic stent.
Ozkan
Orhan S
OS
Department of Radiology, Hacettepe University School of Medicine, 06100 Sihhiye, Ankara, Turkey. orhansozkan@hotmail.com
Akinci
Devrim
D
Abbasoglu
Osman
O
Karcaaltincaba
Musturay
M
Ozmen
Mustafa N
MN
Akhan
Okan
O
D000230:Adenocarcinoma / Q000601:surgery; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002779:Cholestasis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D005471:Fluoroscopy; D005774:Gastrostomy; D006498:Hepatectomy; D006500:Hepatic Duct, Common / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D012004:Rectal Neoplasms / Q000601:surgery; D012086:Reoperation