Extrahepatic bile duct obstruction and erosive disruption by cavitating porta hepatis nodal metastasis, treated by uncovered Wallstent

Jonathan J. Trambert; Andrei Frost; Charlotte Malasky

doi:10.1007/s00270-004-0111-8

Extrahepatic bile duct obstruction and erosive disruption by cavitating porta hepatis nodal metastasis, treated by uncovered Wallstent

Jonathan J. Trambert, Andrei Frost, Charlotte Malasky

Radiology

Research output: Contribution to journal › Article › peer-review

Abstract

A 45-year-old woman with advanced gastric carcinoma presented with obstructive jaundice. Percutaneous transhepatic cholangiography (PTC) revealed erosive disruption of the extrahepatic bile ducts by a cavitating metastasis in the porta hepatis, as well as a biliary-duodenal fistula. External-internal biliary drainage via the fistula was plagued by recurrent drain occlusion by necrotic debris. This was ultimately alleviated by successful catheterization of the distal common bile duct (CBD) through the cavity, and linking the common hepatic duct (CHD) and CBD with a Wallstent, across the cavity. This succeeded in improving internal biliary drainage and isolating the exfoliating debris of the cavity from the bile ducts.

Original language	English (US)
Pages (from-to)	379-382
Number of pages	4
Journal	Cardiovascular and Interventional Radiology
Volume	27
Issue number	4
DOIs	https://doi.org/10.1007/s00270-004-0111-8
State	Published - Jan 1 2004

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine

Access to Document

10.1007/s00270-004-0111-8

Cite this

@article{f7cfde112a5d48cab55f9efb659e9b7d,

title = "Extrahepatic bile duct obstruction and erosive disruption by cavitating porta hepatis nodal metastasis, treated by uncovered Wallstent",

abstract = "A 45-year-old woman with advanced gastric carcinoma presented with obstructive jaundice. Percutaneous transhepatic cholangiography (PTC) revealed erosive disruption of the extrahepatic bile ducts by a cavitating metastasis in the porta hepatis, as well as a biliary-duodenal fistula. External-internal biliary drainage via the fistula was plagued by recurrent drain occlusion by necrotic debris. This was ultimately alleviated by successful catheterization of the distal common bile duct (CBD) through the cavity, and linking the common hepatic duct (CHD) and CBD with a Wallstent, across the cavity. This succeeded in improving internal biliary drainage and isolating the exfoliating debris of the cavity from the bile ducts.",

author = "Trambert, {Jonathan J.} and Andrei Frost and Charlotte Malasky",

year = "2004",

month = jan,

day = "1",

doi = "10.1007/s00270-004-0111-8",

language = "English (US)",

volume = "27",

pages = "379--382",

journal = "Cardiovascular and Interventional Radiology",

issn = "0174-1551",

publisher = "Springer Verlag",

number = "4",

}

TY - JOUR

T1 - Extrahepatic bile duct obstruction and erosive disruption by cavitating porta hepatis nodal metastasis, treated by uncovered Wallstent

AU - Trambert, Jonathan J.

AU - Frost, Andrei

AU - Malasky, Charlotte

PY - 2004/1/1

Y1 - 2004/1/1

N2 - A 45-year-old woman with advanced gastric carcinoma presented with obstructive jaundice. Percutaneous transhepatic cholangiography (PTC) revealed erosive disruption of the extrahepatic bile ducts by a cavitating metastasis in the porta hepatis, as well as a biliary-duodenal fistula. External-internal biliary drainage via the fistula was plagued by recurrent drain occlusion by necrotic debris. This was ultimately alleviated by successful catheterization of the distal common bile duct (CBD) through the cavity, and linking the common hepatic duct (CHD) and CBD with a Wallstent, across the cavity. This succeeded in improving internal biliary drainage and isolating the exfoliating debris of the cavity from the bile ducts.

AB - A 45-year-old woman with advanced gastric carcinoma presented with obstructive jaundice. Percutaneous transhepatic cholangiography (PTC) revealed erosive disruption of the extrahepatic bile ducts by a cavitating metastasis in the porta hepatis, as well as a biliary-duodenal fistula. External-internal biliary drainage via the fistula was plagued by recurrent drain occlusion by necrotic debris. This was ultimately alleviated by successful catheterization of the distal common bile duct (CBD) through the cavity, and linking the common hepatic duct (CHD) and CBD with a Wallstent, across the cavity. This succeeded in improving internal biliary drainage and isolating the exfoliating debris of the cavity from the bile ducts.

UR - http://www.scopus.com/inward/record.url?scp=3843124078&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=3843124078&partnerID=8YFLogxK

U2 - 10.1007/s00270-004-0111-8

DO - 10.1007/s00270-004-0111-8

M3 - Article

C2 - 15366223

AN - SCOPUS:3843124078

SN - 0174-1551

VL - 27

SP - 379

EP - 382

JO - Cardiovascular and Interventional Radiology

JF - Cardiovascular and Interventional Radiology

IS - 4

ER -

Extrahepatic bile duct obstruction and erosive disruption by cavitating porta hepatis nodal metastasis, treated by uncovered Wallstent

Abstract

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this