PMC2809321_01
Percutaneous transhepatic cholangiography (PTC) showing the dilated segmental intrahepatic ducts excluded by the main biliary duct. A plastic stent is placed in the main duct.
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fig1
After this procedure the patient was submitted to a percutaneous transhepatic cholangiography (PTC) showing a complete obstruction of segments VI and VII biliary branches near the duct-to-duct biliary anastomosis (Figure 1).
Cholangiogram showing the guide wire (arrow) during unsuccessful attempts to cross the anastomotic obstruction.
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fig2
It was impossible to cross the biliary stricture by a torque catheter and by hydrophilic guide wire (Figure 2).
Intraoperative cholangiogram showing the complete filling with glue of excluded intrahepatic bile ducts.
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fig3
This solution completely filled the biliary duct, and the occlusion was totally accomplished in a few seconds (Figure 3).