title: [A Case in Which PTCS Was Effective in the Diagnosis and Treatment of Bile Duct Cancer].
abstract: The patient was an 83-year-old man who was admitted for fever and upper abdominal pain as chief complaints. Laboratory tests showed abnormal liver function, and abdominal CT revealed dilation of the common bile duct. The patient was admitted to our hospital with a diagnosis of obstructive jaundice. He underwent surgery, but resection was difficult because of strong adhesion. After dilation of the PTBD fistula, which required approximately 8 weeks, PTCS was performed. Then, according to PTCS and biopsy, bile duct cancer was diagnosed. We were also able to insert a percutaneous biliary stent. The duration of hospitalization was long, but the patient was able to be discharged to his home. Although PTCS requires a long time, it is considered an effective treatment if endoscopic surgery is difficult.
authors.affiliation: Dept. of Surgery, Chiyuukai Shinkomonji Hospital.
authors.forename: Shun
authors.initials: S
authors.lastname: Miyanari
authors.forename: Takahiro
authors.initials: T
authors.lastname: Shimauchi
authors.forename: Muneyuki
authors.initials: M
authors.lastname: Shibata
mesh_terms: D000369:Aged, 80 and over; D001650:Bile Duct Neoplasms / Q000150:complications / Q000473:pathology* / Q000628:therapy*; D016145:Endoscopy, Digestive System; D017809:Fatal Outcome; D006801:Humans; D041781:Jaundice, Obstructive / Q000628:therapy; D008297:Male; D014057:Tomography, X-Ray Computed