Usefulness of percutaneous cholangiography combined with CT in post-operative patients with hepato-biliary surgery

Kirchgesner, Thomas;Hubert, Catherine;Danse, Etienne
(2012) JBR-BTR — Vol. 95, n° 6, p. 366 (2012)

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Abstract
(en) Hepato-biliary surgery for malignancies has a high mortality rate (7,3%) with also a high rate of readmitted patients within the first 30 days of discharge (14,3- 15,5%) (1). After hepato-biliary surgery medical imaging is essential: computed tomography (CT) is required to detect collections, ultrasonography to assess dilatated biliary ducts and percutaneous cholangiography (PC) to ensure safe withdrawal of biliary drain or Kehr's drain. A recent paper published in the JBR-BTR depicted the interest of double contrast percutaneous transhepatic cholangiographic CT (DCPCT- CT) to explore bile duct obstruction, combining PC and CT with iodine injection (2). We would like to report on our experience with a recent procedure combining PC and CT without iodine injection, demonstrating anastomotic leak in jejunobiliary anastomosis.
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Kirchgesner, T., Hubert, C., & Danse, E. (2012). Usefulness of percutaneous cholangiography combined with CT in post-operative patients with hepato-biliary surgery. JBR-BTR, 95(6), 366. https://doi.org/10.5334/jbr-btr.725 (Original work published 2012)