Percutaneous biliary stenting

Case contributed by Dr Maciej Mazgaj


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.

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.

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


Baloon remodeling of CBD stent.

Stent remodeling and patency control.


Summary control 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
Published: 6th Aug 2015
Last edited: 14th Aug 2019
Inclusion in quiz mode: Excluded