Percutaneous transhepatic biliary drainage catheter fracture: A case report

Annals of Hepato-biliary-pancreatic Surgery
Jia Rui KwanVishal G Shelat

Abstract

Percutaneous transhepatic biliary drainage (PTBD) is safe treatment for biliary decompression given certain indications. However, this is temporary until definitive drainage is established. We report on a 76-year-old lady with recurrent pyogenic cholangitis and PTBD catheter fracture. She had hepatitis B virus-related Child-Pugh class A liver cirrhosis, hypothyroidism, hyperlipidaemia, and previous atrial fibrillation with a background of mild mitral, tricuspid and aortic valvular regurgitation. She had history of laparoscopic cholecystectomy in the past. She was deemed to be a high operative risk and declined hepatic resection. She had undergone multiple endoscopic and percutaneous biliary interventions to control sepsis and stone burden. A bilateral PTBD catheter was left in situ with plans for 3-monthly change. However, she defaulted follow-up and presented 11 months later with complaints of pain over the drain site and inability to flush the right catheter. Abdominal X-ray and computed tomography scans detected right catheter fracture at two places, making three fragments. She underwent percutaneous removal of the proximal fragment by an interventional radiology team. A temporary 4 Fr catheter was inserted to maintain bilia...Continue Reading

References

Dec 1, 1981·RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin·G LuskaM Lux
Mar 29, 2002·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Chang Kyu SeongJae Hyung Park
Feb 1, 2011·Journal of Vascular and Interventional Radiology : JVIR·Leif E JensenPhilip L Johnson
Dec 18, 2014·Journal of Clinical Gastroenterology·Simon NennstielBruno Neu
Aug 16, 2016·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Antti SiikiJohanna Laukkarinen
Oct 23, 2016·Abdominal Radiology·Kenneth Eng Ling KwanCher Heng Tan
Nov 4, 2017·Diagnostic and Interventional Radiology : Official Journal of the Turkish Society of Radiology·Liu Hsien-TzuLiu Chien An

❮ Previous
Next ❯

Citations

Aug 17, 2021·Seminars in Interventional Radiology·Heather MolinaAhsun Riaz

❮ Previous
Next ❯

Methods Mentioned

BETA
Biopsy

Related Concepts

Related Feeds

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. Here is the latest research.

Related Papers

Cardiovascular and Interventional Radiology
C L'HermineG Sergent
Baillière's Clinical Gastroenterology
J W Leung, A S Yu
The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
Sang Woo Cha
© 2022 Meta ULC. All rights reserved