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Abstract
Percutaneous transhepatic puncture with cholangiography was performed on both dilated
and nondilated bile ducts. Our indications for examinations have been jaundice of
obscure causation, suspected obstruction of the common bile duct without jaundice,
and known operative lesions of the biliary tract. The puncture technique allows a
catheter to be left in the liver during the examination. Examinations were performed
under television fluoroscopy in 68 cases and without it in 37. Puncture of dilated
intrahepatic ducts was successful in 50 of 56 attempts. In nondilated ducts, it succeeded
in 18 of 35 attempts with roentgen television, and in 1 of 11 without it.
The dangers of complication are reported and discussed. Our experience confirms the
need for an immediate draining operation if the examination demonstrates the presence
of obstruction to the bile flow.
The percutaneous transhepatic cholangiography is a valuable addition to existing methods
of roentgen examination of the biliary tract. When puncture, even of nondilated bile
ducts, is possible, the diagnostic value of the method has further increased. It may
be feasible as well to study the functional disturbances of the biliary tract with
this technique.
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Article info
Publication history
Received:
December 8,
1961
Identification
Copyright
© 1962 Published by Elsevier Inc.
