Clinical experience with percutaneous transhepatic cholangiography. Experience with 107 cases |
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| Authors: | F J Flemma W W Shingleton |
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| Affiliation: | Durham, North Carolina, USA;Royal Perth hospital, Orthopaedics department, 197, Wellington St, 6000 Perth, WA, Australia;Service de chirurgie hépatique, pancréatique, biliaire et transplantation hépatique, pôle des pathologies digestives, hépatiques et de la transplantation, université de Strasbourg, hôpital de Hautepierre-Hôpitaux universitaires de Strasbourg, 1, avenue Molière, 67098 Strasbourg, France;Service de radiologie hôpital militaire Mohamed V Rabat, Rabat, Maroc |
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| Abstract: | ![]()
Results of 107 percutaneous transhepatic cholangiograms reveal that it is an important diagnostic procedure for elucidation of benign strictures of the biliary tract. It can also aid in distinguishing between the extrahepatic and intrahepatic causes of jaundice of obscure cause. Percutaneous cholangiography should be considered when liver biopsy indicates “cholestasis”, unless haundice subsides promptly.Percutaneous cholangiography has demonstrated multiple unsuspected defects of the biliary tract in the process of investigating suspected benign structures. The radiologic detail of percutaneous cholangiography is far superior to that obtained by intravenous cholangiography even when jaundice is absent.The complications of this procedure are largely avoidable of the precautions described are observed. |
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