Work

Percutaneous transhepatic biliary intervention for the management of recurrent cholangitis secondary to intrahepatic biliary stones after hepaticojejunostomy

Year: 2024

Type: article

Abstract: Recurrent cholangitis, intrahepatic stones and biliary and anastomotic strictures are common complications after Roux-en-Y hepaticojejunostomy. The surgically altered anatomy makes management of these complications with endoscopic retrograde cholangiopancreatography technically difficult. We present a case of recurrent cholangitis in a 25-year-old woman with a prior hepaticojejunostomy. Intrahepatic stones, biliary strictures and hepaticojejunostomy strictures were treated using a combined percutaneous transhepatic cholangiography and cholangioscopy approach over several interventions. Minimally invasive, multidisciplinary approach to the management of intrahepatic biliary calculi and stricture after hepaticojejunostomy can be considered in cases where traditional endoscopic retrograde cholangiopancreatography intervention is too technically difficult.

Source: Radiology Case Reports

DOI: 10.1016/j.radcr.2024.10.079

Authors: Dr Kevin Oreo, Dr Oliver Chen, Vincent Lam, Nicholas Burgess, Rafid Al-Asady

Institution: Westmead Hospital

Language: English

Topic: Gallbladder and Bile Duct Disorders

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $550