Percutaneous biliary stenting

Case contributed by Dr Maciej Mazgaj

Presentation

Jaundice, sonography: biliary tree dilatation. Known non-surgical pancreatic malignancy. Palliative treatment.

Patient Data

Age: 60 years
Gender: Male

Fluoroscopy control of biliary tree puncture and defining common bile duct (CBD) occlusion level.

Modality: Fluoroscopy

Step-by-step images of first part of stenting common bile duct (CBD) procedure: from biliary tree puncture to proper catheter placement.

Traversing occluded part of CBD and stent applying.

Modality: Fluoroscopy

After approaching patent CBD part, stenting begins: first traversing occlusion, then measurements and stent opening.

Baloon remodelling of CBD stent.

Modality: Fluoroscopy

Stent remodelling and patency control.

Summary control x ray.

Modality: X-ray

Abdominal x ray shows proper stent and drainage pig-tail catheter positions.

Case Discussion

Percutaneous biliary tree stenting is a procedure proposed to palliative management of jaundice resulting from CBD occlusion not amenable to surgical treatment.

This method is better for patient's quality of life, as does not require external drainage (in this case drainage was used as additional mean to support stent patency).

This method especially appreciated when ERCP is not possible (in this case duodenum was narrowed).

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Case Information

rID: 38820
Case created: 6th Aug 2015
Last edited: 26th Sep 2015
Inclusion in quiz mode: Excluded

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