Horiguchi J, Ohwada S, Tanahashi Y, Sawada T, Ikeya T, Ogawa T, Aiba S, Shiozaki H, Yokoe T, Iino Y, Morishita Y
The Department of Surgery, Maebashi Red Cross Hospital, Gunma University School of Medicine, Japan.
Hepatogastroenterology. 1998 Nov-Dec;45(24):2038-41.
A 24 year-old woman complained of obstructive jaundice 24 days after blunt abdominal trauma due to a traffic accident. Endoscopic retrograde cholangiopancreatography (ERCP) revealed a stricture, 15 mm 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 tube was exchanged for a larger-sized catheter for percutaneous transhepatic cholangioscopy expecting gradual dilatation of the stricture. Following the confirmation of satisfactory dilatation of the stricture, the catheter was removed. There was no recurrence of jaundice 16 months later in a follow-up study.
一名24岁女性在因交通事故导致腹部钝性创伤24天后出现梗阻性黄疸。内镜逆行胰胆管造影（ERCP）显示胆总管有一处15毫米长的狭窄，并伴有肝内胆管扩张。经皮经肝胆道引流（PTCD）使黄疸减轻。将一根7F尺寸的PTCD管换成了更大尺寸的导管用于经皮经肝胆道镜检查，期望狭窄能逐渐扩张。在确认狭窄得到满意扩张后，移除了导管。随访研究显示16个月后黄疸未复发。
