Goldman S M, Diamond A, Salik J O
Radiology. 1976 Jan;118(1):13-7. doi: 10.1148/118.1.13.
Seven cases of iatrogenic rupture of the intrahepatic bile ducts were demonstrated on T-tube and/or operative cholangiography. This brings the total of documented case reports to 17. All patients had hepatic duct exploration with either the Fogarty balloon catheter and/or the biliary spoon and/or the biliary forceps and/or Bakes dilators. These extravasations usually occur from the right hepatic duct. The recognition of this entity is important because potentially serious complications may occur. Most of the previous cases of intrahepatic extravasation ascribed to excessive pressures of injection were probably surgically induced.
7例肝内胆管医源性破裂在T管造影和/或手术胆管造影中得到证实。这使有记录的病例报告总数达到17例。所有患者均使用Fogarty球囊导管和/或胆道匙和/或胆道钳和/或贝克斯扩张器进行肝管探查。这些外渗通常发生在右肝管。认识到这一情况很重要，因为可能会发生潜在的严重并发症。以前大多数归因于注射压力过大的肝内造影剂外渗病例可能是手术引起的。
