title: [Atypical biliary stenting in patient with obstructive biliary jaundice].
abstract: Obstructive biliary jaundice is a common complication in patients with malignancies which infiltrate biliary ducts. If untreated efficiently the jaundice is fatal a short period of time. We present a case of 60-year-old male patient who had undergone Whipple procedure in the past and presented with local recurrence treated successfully by percutaneous stenting of obstructed biliary duct. When passing through the obstruction we observed a contrast-bile leakage at the level of occluded segment and instability of implanted stent which was a complication that extorted atypical approach. We applied a covered stent in association with oversized nitinol stent which allowed to form a funnel-like construction efficiently decompressing biliary tree. Thanks to this management we also avoided further complications.
authors.affiliation: Katedra i Zakład Radiologii Ogólnej, Zabiegowej i Neuroradiologii (ZROZiN) Akademii Medycznej we Wrocławiu Kierownik Katedry Radiologii. jgarcarek@interia.pl
authors.forename: Jerzy
authors.initials: J
authors.lastname: Garcarek
authors.forename: Jacek
authors.initials: J
authors.lastname: Kurcz
authors.forename: Maciej
authors.initials: M
authors.lastname: Guziński
authors.forename: Dariusz
authors.initials: D
authors.lastname: Janczak
mesh_terms: D001660:Biliary Tract Diseases / Q000209:etiology / Q000628:therapy*; D001662:Biliary Tract Surgical Procedures / Q000009:adverse effects; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D019919:Prosthesis Implantation; D012008:Recurrence; D015607:Stents