Fine needle cholangiography in the diagnosis of persistent jaundice. A case report
Tabrisky, J.; Pfisterer, W.F.; Lindstrom, R.R.; Lanken, P.N.; Richman, R.
American Journal of Gastroenterology 66(2): 172-175
1976
ISSN/ISBN: 0002-9270 PMID: 970397 Document Number: 96515
The fine needle technic utilizes a sleeveless, thin, flexible needle for transhepatic cholangiography. This needle can enter small or normal bile ducts in a high percentage of patients. The value of fine needle cholangiography is illustrated in a patient with a stenosis of the common hepatic duct and a left hepatodochalduodenal fistula which eluded diagnosis by all other methods. The use of this technic is described as an alternative procedure to endoscopic retrograde cholangiography when the latter is technically impossible or as an adjunct to intraoperative extrahepatic cholangiography.