successful biliary drainage by percutaneous transhepatic puncture common bile duct and rendezvous technique for a case of recurrent biliary pancreatitis with a roux en y reconstruction and without extension of the bile duct

• DOI: 10.11405/nisshoshi.116.739
• Publication Date: 2019-01-01
• Authors: Yoshio Itokawa; Yoshitaka Nakai; Hiroyuki Kokuryu; Masahito Kawamura; Kiyonori Kusumoto; Atsuyuki Ikeda; Hidemasa Azechi
• Keywords: Aged, 80 and over; Common Bile Duct; Pancreatitis, Chronic; Drainage; Humans; Female; Bile Ducts; Punctures

A 92-year-old woman was hospitalized with upper abdominal pain. She had a history of acute biliary pancreatitis and chronic heart failure and had undergone gastrectomy with Roux-en-Y reconstruction. She was admitted with recurrent pancreatitis and an exacerbation of heart failure. Biliary drainage could not successfully be achieved endoscopically or with percutaneous transhepatic biliary drainage and EUS-guided biliary drainage because of the Roux-en-Y reconstruction and non-dilation of bile duct. We successfully accomplished biliary drainage in one session with percutaneous transhepatic puncture of the common bile duct with ultrasound guidance and the rendezvous technique. We report this case because it is rare.