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Related to Percutaneous transhepatic cholangiography: Percutaneous Transhepatic Biliary Drainage, percutaneous cholecystostomy


Roentgenography of the bile ducts.



roentgenographic examination of the gallbladder and bile ducts after the introduction (orally or intravenously) of an iodine-containing contrast agent that is excreted with bile. The procedure is not applied in the case of pronounced jaundice. Cholangiography yields a clear picture of the anatomical structure and functioning of the gallbladder and bile ducts; it reveals the presence of calculi, or gallstones (cholelithiasis), inflammatory changes (cholecystitis or cholangitis), and disruption of the emptying mechanism of the bladder (dyskinesia).


Lindenbraten, L. D. Rentgenologicheskoe issledovanie pecheni i zhelchnykh putei. Leningrad, 1953.
Gal’perin, E. I., and I. M. Ostrovskaia. Kontrastnoe issledovanie v khirurgii zhelchnykh putei. Moscow, 1964.
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Percutaneous transhepatic cholangiography was done in one case (12.5%) out of 8 cases of gallbladder cancer and 2 cases (16.6%) out of 12 cases of cholangiocarcinoma.
A flexible swallowed tube can be used (endoscopic retrograde cholangiopancreatography or ERCP), or a needle can be passed through the liver and into the bile ducts (percutaneous transhepatic cholangiography or PTC).
Various techniques, including laparoscopic trans-cystic common bile duct exploration, endoscopic ultrasound guided trans-hepatic ERCP, laparoscopic choledochoduodeonoscopy, percutaneous transhepatic cholangiography, balloon enteroscopic ERCP, and laparoscopic transgastric ERCP (LTER-CP), are used to access the biliary tree in patients with altered gastrointestinal anatomy (6).
Percutaneous transhepatic cholangiography showed stent occlusion.
Patients under went trans-abdominal ultrasonography, computed tomography, endoscopic retrograde cholangiopancreatography with or without percutaneous transhepatic cholangiography and magnetic resonance imaging as required.

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