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Percutaneous Transhepatic Cholangiography
CAPT FRED R. PLECHA, USAF (MC);
COL CARL W. HUGHES, MC;
COL MAX L. SMITH, MC;
CARLETON MATHEWSON, JR., MD
AMA Arch Surg. 1966;92(5):672-676.
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PERCUTANEOUS transhepatic cholangiography is a safe and effective method for diagnosing the cause of jaundice.3,4 A careful history, a complete physical examination, and liver function studies may not yield an exact diagnosis. Liver biopsy may be of further aid but with a certain group of patients the clinician may still be puzzled. To operate on a patient with hepatitis may be as disastrous as to deny another patient with a common duct stone early surgery. Percutaneous transhepatic cholangiography offers a new way to solve this common dilemma. It can usually establish not only the presence or absence of extrahepatic obstruction, but will generally demonstrate the site of obstruction and define the probable cause.
The purpose of this paper is to describe our technique of percutaneous cholangiography, to present a series of representative roentgenograms (Fig 2-7), and to report our results.
Technique
The patient is premedicated and placed supine on
. . . [Full Text PDF of this Article]
Author Affiliations
WRITHT-PATTERSON AFB, OHIO; USA; USA; SAN FRANCISCO
From the Department of Surgery, Letterman General Hospital, San Francisco.
Footnotes
Read before the 73rd Annual Session of the Western Surgical Association, Omaha, Nov 18-20, 1965.
Opinions or conclusions contained in this paper are those of the authors and do not necessarily reflect the view or official policy of the United States Army or the United States Air Force.
Reprint requests to US Air Force Hospital, Wright-Patterson Air Force Base, Ohio (Capt Plecha).
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