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Percutaneous transhepatic sphincterotomy of the major papilla and stone extraction without endoscopic control
G Angelini1, G Mansueto, D Giacomin
1Institute of Clinical Medicine, University of Verona, Policlinico Borgo Roma, Verona, Italy.
Cardiovascular and Interventional Radiology
|May 1, 1997
Abstract:
Obstructive jaundice due to an impacted stone in the common bile duct (CBD) was seen in a patient who had previously undergone Billroth II gastric resection and cholecystectomy. Surgical and endoscopic approaches to the common bile duct failed owing to pericholedochal adhesions and the excessive length of the duodenal loop. The patient was therefore treated percutaneously (sphincterotomy and stone extraction) without endoscopic control.