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

Percutaneous Transhepatic Cholangiogram (PTC): an investigation into the use and outcomes of PTC in an acute hospital Trust in the UK

Pancreatic cancer seeding of percutaneous needle tract

A 65-year old African-American female presents with biliary ductal dilatation due to an obstructive pancreatic head mass. Percutaneous transhepatic cholangiogram performed and biliary drainage catheter placement for decompression of the biliary system. The patient had a Whipple procedure performed several months later. On follow up CT imaging, there was interval development and enlargement of a...

Pleuro-biliary fistula--a delayed complication following open cholecystectomy.

A 24-year-old lady presented with bilious expectoration and history suggestive of obstructive jaundice, 16 months following open cholecystectomy. Pleurocentesis was done, followed by intercostal drainage, which drained about 300 mL bilious fluid per day for a month. Her symptoms of obstructive jaundice were relieved. A pleuro-biliary fistula was demonstrated by percutaneous transhepatic cholang...

Intermittent jaundice and rigors in a patient with longstanding ulcerative colitis.

A 44 year old man was admitted with a history of intermittent jaundice and rigors. Three months previously he had been admitted to another hospital with similar symptoms and half a stone (3.2 kg) weight loss. At this time his problems were thought to be secondary to choledocholithiasis. At operation, gallstones were seen in the common bile duct with an associated lower common bile duct strictur...

Addisonian-like crisis in congenital hypopituitarism and cholestatic jaundice.

A six-week-old male infant was admitted for investigation of cholestasis and pale stools. He became lethargic and apnoeic with prolonged seizures after a percutaneous liver biopsy. Subsequent investigations showed conjugated hyperbilirubinaemia, elevated liver enzymes, and hypoglycaemia. The radinuclide hepatobiliary scintigraphy was non-excretory. After an operative cholangiogram, the infant d...