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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2014; 05(03): 129-131
DOI: 10.4103/0976-5042.147503
Case Report
Society of Gastrointestinal Endoscopy of India

A modification of rendezvous technique for endoscopically treating transected common bile duct following cholecystectomy

Vishal Sharma
Departments of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
,
K. V. Raghavendra Prasada
Departments of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
,
Surinder S. Rana
Departments of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
,
A. C. Arun
Departments of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
,
Anupam Lal
1   Department of Gastroenterology, Radiodiagnosis
,
Rajesh Gupta
2   Department of Gastroenterology, Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India
,
Deepak K. Bhasin
Departments of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
› Author Affiliations
Further Information

Publication History

Publication Date:
26 September 2019 (online)

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Abstract

Endoscopic therapy is the standard of care for management of most benign biliary strictures. However, endoscopic therapy can fail in very tight strictures. We report a case of a 52-year-old lady who had complete bile duct transection with stricture after laparoscopic cholecystectomy. In initial attempt, at endoscopic retrograde cholangiopancreatography (ERCP), guidewire could not be negotiated endoscopically across the narrowing as there was complete cut off of the bile duct and so a percutaneous transhepatic biliary drainage (PTBD) was done and subsequently internalized into the duodenum. We cannulated the internalized end of PTBD catheter with the standard ERCP cannula with guidewire and advanced it across the biliary stricture. PTBD catheter was withdrawn externally, and the guidewire was left in the left ductal system. We report this innovation as this may be helpful in managing patients with ERCP after an initial PTBD has been successfully internalized into the duodenum.

Key words

Cholecystectomy - common bile duct - endoscopic retrograde cholangio-pancreatography
 

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