Percutaneous transcholecystic placement of an ePTFE/FEP-covered stent in the common bile duct.
We report the case of a 78-year-old male patient with obstructive jaundice due to a pancreatic head neoplasm. The patient's general condition did not permit an endoscopic approach and the presence of diffuse liver metastases prohibited hepatic puncture for percutaneous biliary drainage, therefore the transcolecystic transperitoneal approach was decided to be the safest decompression route. Through a gallbladder access, a Viabil-covered stent with a mesh extension was placed in the distal common bile duct, without complications. The patient died 8 months later without signs of stent dysfunction or necessity of reintervention. Transcholecystic transperitoneal access is a safe option when diffuse liver metastases prohibit the transhepatic approach, even in cases where placement of a covered stent is considered necessary.
Department of Radiology, University Hospital of Heraklion, Stavrakia-Voutes, Heraklion 71500, Greece. mkrokidis@hotmail.com
Miltiadis E
ME
Krokidis
Adam A
AA
Hatzidakis
D000368:Aged; D001651:Cholestasis, Extrahepatic / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D003135:Common Bile Duct; D017809:Fatal Outcome; D006801:Humans; D041781:Jaundice, Obstructive / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D008113:Liver Neoplasms / Q000556:secondary; D008297:Male; D010190:Pancreatic Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D011138:Polytetrafluoroethylene / Q000031:analogs & derivatives; D015607:Stents; D014057:Tomography, X-Ray Computed; D005465:Fluorocarbon Polymers
D011138:Polytetrafluoroethylene; C096305:fluorinated ethylene propylene; D005465:Fluorocarbon Polymers