Redman H C, Joseph R R
Am J Dig Dis. 1975 Jul;20(7):691-8. doi: 10.1007/BF01071178.
Percutaneous transhepatic cholangiography (PTC) was performed on a 23-year-old male because of an atypical progression of hepatitis B antigen-negative hepatitis. No bile duct was entered and the procedure was uneventful. However, celiac angiography the day following PTC revealed abnormal liver vessels in the target area and the patient developed hemobilia and clinical pancreatitis, causing common bile duct obstruction. Symptomatology persisted until celiotomy 32 days after PTC. Clots were found obstructing the bile duct. This case is presented both because of the unusual complications of PTC and the unusual angiographic abnormalities. It is suggested that when there is a specific indication for the procedure either to differentiate cholestatic jaundice from extrahepatic jaundice or to localize a site of abstruction before surgical intervention.
由于乙型肝炎抗原阴性肝炎的不典型进展，对一名23岁男性进行了经皮经肝胆管造影术（PTC）。未进入胆管，手术过程顺利。然而，PTC术后第二天的腹腔血管造影显示目标区域肝脏血管异常，患者出现胆道出血和临床胰腺炎，导致胆总管梗阻。症状持续到PTC术后32天行剖腹手术时。发现血凝块阻塞胆管。报告此病例是因为PTC出现了不寻常的并发症以及血管造影异常。建议在有特定指征时进行该手术，以区分肝外胆汁淤积性黄疸或在手术干预前定位梗阻部位。
