J. Horiguchi et al., Traumatic biliary stricture successfully treated by percutaneous transhepatic bile duct dilatation: A case report, HEP-GASTRO, 45(24), 1998, pp. 2038-2041
A 24 year-old woman complained of obstructive jaundice 24 days after blunt
abdominal trauma due to a traffic accident. Endoscopic retrograde cholangio
pancreatography (ERCP) revealed a stricture, 15mm in length, at the common
bile duct associated with upper bile duct dilatation. Jaundice was reduced
by percutaneous transhepatic cholangio-drainage (PTCD). A 7 Fr-sized PTCD t
ube was exchanged for a larger-sized catheter for percutaneous transhepatic
cholangioscopy expecting gradual dilatation of the stricture. Following th
e confirmation of satisfactory dilatation of the stricture, the catheter wa
s removed. There was no recurrence of jaundice 16 months later in a follow-
up study.