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Endoscopic retrograde cholangiography in surgical emergencies

Endoscopic retrograde cholangiography in surgical emergencies

Annals of Surgery 187(1): 20-23

Twelve patients, presenting with an acute abdomen of suspected biliary tract origin, had endoscopic retrograde cholangiography performed. Eight patients had either traumatic, spontaneous or postoperative biliary tract fistulas with 5 leading to the peritoneal cavity, 1 to the colon, 1 to the bronchial tree and 1 to the liver parenchyma from a ruptured gall-bladder. Each was confirmed by endoscopic retrograde cholangiography. Four patients with jaundice, following traumatic rupture of the liver, had a pathological communication between the intrahepatic biliary tracts and the hepatic vascular system. ERC is a reliable method for obtaining precise localization of bilary tract problems in surgical emergencies both pre- and post-operatively.

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Accession: 005359535

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