Skip to main content
Log in

Successful management of preoperative cholangitis by percutaneous transhepatic biliary drainage: Case report of advanced gallbladder carcinoma with severe cholangitis

  • Case Report of Interest
  • Published:
Journal of Hepato-Biliary-Pancreatic Surgery

Abstract

A case of advanced gallbladder carcinoma complicated with preoperative severe cholangitis is reported. The cholangitis was completely controlled after management employing percutaneous transhepatic biliary drainage (PTBD), and it was then possible to perform curative resection of the gallbladder carcinoma. Malignancy at the hepatic hilus sometimes causes acute obstructive cholangitis, followed by severe liver dysfunction, making major hepatic resection impossible. PTBD is quite useful for improving such a pathological condition.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Boey JH, Way LW (1980) Acute cholangitis. Ann Surg 191:264–270

    CAS  PubMed  Google Scholar 

  2. Reynolds BM, Dargan EL (1959) Acute obstructive cholangitis. A distinct clinical syndrome. Ann Surg 150:299–303

    CAS  PubMed  Google Scholar 

  3. Glenn F, Moody FC (1961) Acute obstructive suppurative cholangitis. Surg Gynecol Obstet 113:265–273

    CAS  PubMed  Google Scholar 

  4. Dow DW, Lindenauer SM (1969) Acute obstructive suppurative cholangitis. Ann Surg 169:272–276

    CAS  PubMed  Google Scholar 

  5. Hori A, Nimura Y, Hayakawa N, Kamiya J, Kubota H, Shionoya S (1988) A case of bile duct carcinoma at the hepatic hilus with segmental obstructive suppurative cholangitis (in Japanese). Nippon Shokakigeka Gakkai Zasshi (Jpn J Gastroenterol Surg) 21:2781–2784

    Google Scholar 

  6. Iyomasa S, Nimura Y, Kamiya J, Maeda S, Kondo S, Yasui A, Shionoya S (1991) Management of cholangitis complicated in biliary carcinoma with hilar bile duct stenosis (in Japanese with English abstract). Nippon Geka Gakkai Zasshi (J Jpn Surg Soc) 92:448–452

    CAS  PubMed  Google Scholar 

  7. Nagino M, Hayakawa N, Nimura Y, Dohke M, Kitagawa S (1992) Percutaneous transhepatic biliary drainage in patients with malignant biliary obstruction of the hepatic confluence. Hepato-Gastroenterol 39:296–300

    CAS  Google Scholar 

  8. Pollack DS, Sufian S, Matsumoto T (1979) Indocyanine green clearance in critically ill patients. Surg Gynecol Obstet 149: 852–854

    CAS  PubMed  Google Scholar 

  9. Gottlieb ME, Stratton HH, Newell JC, Shah DM (1984) Indocyanine green. Its use as an early indicator of hepatic dysfunction following injury in man. Arch Surg 119:264–268

    CAS  PubMed  Google Scholar 

  10. Takasaki T, Kobayashi S, Suzuki S, Muto H, Marada M, Yamana Y, Nagaoka T (1980) Predetermining postoperative hepatic function for hepatectomies. Int Surg 65:309–313

    CAS  PubMed  Google Scholar 

  11. Yamanaka N, Okamoto E, Toyosaka A, Mitunobu M, Fujihara S, Kato T, Fujimoto J, Oriyama T, Furukawa K, Kawamura E (1990) Prognostic factors after hepatectomy for hepatocellular carcinomas. A univariate and multivariate analysis. Cancer 65: 1104–1110

    CAS  PubMed  Google Scholar 

  12. Nimura Y, Shionoya S, Hayakawa N, Kamiya J, Kondo S, Yasui A (1988) Value of percutaneous transhepatic cholangioscopy (PTCS). Surg Endosc 2:213–219

    Article  CAS  PubMed  Google Scholar 

  13. Nimura Y, Hayakawa N, Kamiya J, Kondo S, Shionoya S (1990) Hepatic segmentectomy with caudate lobe resection for bile duct carcinoma of the hepatic hilus. World J Surg 14: 535–544

    Article  CAS  PubMed  Google Scholar 

  14. Kadir S, Baassiri A, Barth KH, Kaufman SL, Cameron JL, White RI Jr (1982) Percutaneous biliary drainage in the management of biliary sepsis. AJR 138:25–29

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

About this article

Cite this article

Iyomasa, S., Kato, T., Nimura, Y. et al. Successful management of preoperative cholangitis by percutaneous transhepatic biliary drainage: Case report of advanced gallbladder carcinoma with severe cholangitis. J Hep Bil Pancr Surg 1, 424–428 (1994). https://doi.org/10.1007/BF02391107

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02391107

Key words

Navigation