Hemobilia and pancreatitis as complications of a percutaneous transhepatic cholangiogram

Is rotational cholangiogram a feasible investigation for obstructive jaundice? A comparison study with conventional percutaneous transhepatic cholangiogram

The fortuitous repair of a common bile duct injury following placement of a percutaneous transhepatic cholangiogram catheter

Common bile duct injuries are associated with a high rate of morbidity and mortality and are discussed frequently in the literature. These injuries may be difficult to diagnose intraoperatively and are often challenging to repair, necessitating referral to hepatobiliary surgery specialists at academic institutions. This case report highlights the management of a completely disrupted common bile...

Cholecystectomy without intraoperative cholangiogram in gallstone pancreatitis.

OBJECTIVE To determine the long term outcome of cholecystectomy without intraoperative cholangiogram (IOC) in patients recovering from acute gallstone pancreatitis with normal preoperative liver function tests and imaging. METHODS The medical records of all patients who underwent cholecystectomy without IOC for gallstone pancreatitis at King Saud Medical City, Riyadh, Saudi Arabia between Jan...

Transhepatic percutaneous endoscopic gastrostomy

We describe the case of a hepatic injury after the insertion of a PEG. In a cirrhotic woman affected by a locally advanced cancer of the pharynx, the PEG tube was inserted through the edge of the left lobe of the liver. The patient was treated with a conservative approach by managing abdominal pain and the PEG was removed after 4 months without complication. Hepatic injury is a rare complicatio...

Percutaneous transhepatic mitral commissurotomy.

A novel, transhepatic approach to mitral valvuloplasty is described in a patient with an inferior vena caval filter. After transhepatic transseptal puncture, an Inoue dilatation catheter was passed through the hepatic parenchyma and across the atrial septum. Balloon mitral valvuloplasty was performed without complications. This approach should be considered when femoral venous access is restric...