PMC3961317_01
PMC3961317_02
Image showing the injection of contrast agent into the diverticulum through a catheter, confirming mucosal opacification (white arrow) outside the duodenum.
OL-07-04-1257-g00.jpg
PMC3961317_02_OL-07-04-1257-g00.jpg
f1-ol-07-04-1257
The major papilla was located inside a large juxtapapillary diverticulum during the procedure (Figs. 1-2).
Guidewire being circled in the lumen of the diverticulum and passed through the orifice of the diverticulum into the distal segment of the duodenum during the PTBS procedure. PTBS, percutaneous transhepatic biliary stenting.
OL-07-04-1257-g01.jpg
PMC3961317_02_OL-07-04-1257-g01.jpg
f2-ol-07-04-1257
The major papilla was located inside a large juxtapapillary diverticulum during the procedure (Figs. 1-2).
A self-expanding metallic stent was inserted alongside the guidewire and through the papilla into the duodenum. Cholangiography reveals contrast agent passing through the stent into the duodenum.
OL-07-04-1257-g02.jpg
PMC3961317_02_OL-07-04-1257-g02.jpg
f3-ol-07-04-1257
The biliary stent was implanted successfully to cover the stenotic bile duct, with perfect cholangiographic results (Fig. 3).
CT performed 4 days after PTBS revealing a tumor surrounding the intradiverticular papilla (white arrow) and the bile duct stent. PTBS, percutaneous transhepatic biliary stenting.
OL-07-04-1257-g03.jpg
PMC3961317_02_OL-07-04-1257-g03.jpg
f4-ol-07-04-1257
CT performed 4 days after PTBS showed the tumor surrounding the intradiverticular papilla (Fig. 4).