Percutaneous Balloon Retrieval Technique for Fractured Biliary Drainage Catheter in a Paediatric Patient: Can a Major Surgery be Averted?
Percutaneous Transhepatic Biliary Drainage (PTBD) involves temporary placement of an external drainage catheter into an obstructed bile duct prior to internal biliary stenting or surgery. Chronic indwelling PTBD catheters can develop surrounding adhesions and are prone to fractures and retention dur...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2022-03-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/16113/52391_CE[Ra1]_F(KR)_PF1(RD_SS)_PFA(SL)_PN(SHU).pdf |
| _version_ | 1828040248091738112 |
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| author | Amrin Israrahmed Somesh Singh Rana Vishwadeep Mall Rajanikant R Yadav |
| author_facet | Amrin Israrahmed Somesh Singh Rana Vishwadeep Mall Rajanikant R Yadav |
| author_sort | Amrin Israrahmed |
| collection | DOAJ |
| description | Percutaneous Transhepatic Biliary Drainage (PTBD) involves temporary placement of an external drainage catheter into an obstructed bile duct prior to internal biliary stenting or surgery. Chronic indwelling PTBD catheters can develop surrounding adhesions and are prone to fractures and retention during their removal. Retained segments can cause impaired biliary drainage, inflammation and recurrent cholangitis. Retrieval of retained catheters can be done by endoscopic/surgical/percutaneous techniques. In patients who have undergone Hepatico-Jejunostomy (HJ), endoscopic removal is not possible and percutaneous/surgical removal are the only options. The authors present a case of a five-year-old child who came for removal of a fractured, retained PTBD catheter, nine months after undergoing HJ. The catheter was removed by a percutaneous balloon retrieval technique. The objective here is to highlight the technical challenges encountered and present a modification of the usual balloon retrieval technique used to successfully remove the catheter and thus avert a major surgery. |
| first_indexed | 2024-04-10T16:54:14Z |
| format | Article |
| id | doaj.art-7c3d25a9a6a24968afc00ad837d8040c |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-10T16:54:14Z |
| publishDate | 2022-03-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-7c3d25a9a6a24968afc00ad837d8040c2023-02-07T08:58:11ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2022-03-01163TD01TD0310.7860/JCDR/2022/52391.16113Percutaneous Balloon Retrieval Technique for Fractured Biliary Drainage Catheter in a Paediatric Patient: Can a Major Surgery be Averted?Amrin Israrahmed0Somesh Singh1Rana Vishwadeep Mall2Rajanikant R Yadav3Senior Resident, Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.Senior Resident, Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.Senior Resident, Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.Additional Professor, Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.Percutaneous Transhepatic Biliary Drainage (PTBD) involves temporary placement of an external drainage catheter into an obstructed bile duct prior to internal biliary stenting or surgery. Chronic indwelling PTBD catheters can develop surrounding adhesions and are prone to fractures and retention during their removal. Retained segments can cause impaired biliary drainage, inflammation and recurrent cholangitis. Retrieval of retained catheters can be done by endoscopic/surgical/percutaneous techniques. In patients who have undergone Hepatico-Jejunostomy (HJ), endoscopic removal is not possible and percutaneous/surgical removal are the only options. The authors present a case of a five-year-old child who came for removal of a fractured, retained PTBD catheter, nine months after undergoing HJ. The catheter was removed by a percutaneous balloon retrieval technique. The objective here is to highlight the technical challenges encountered and present a modification of the usual balloon retrieval technique used to successfully remove the catheter and thus avert a major surgery.https://www.jcdr.net/articles/PDF/16113/52391_CE[Ra1]_F(KR)_PF1(RD_SS)_PFA(SL)_PN(SHU).pdfadhesionscholangitishepatico-jejunostomypercutaneous transhepatic biliary drainageretained catheter |
| spellingShingle | Amrin Israrahmed Somesh Singh Rana Vishwadeep Mall Rajanikant R Yadav Percutaneous Balloon Retrieval Technique for Fractured Biliary Drainage Catheter in a Paediatric Patient: Can a Major Surgery be Averted? Journal of Clinical and Diagnostic Research adhesions cholangitis hepatico-jejunostomy percutaneous transhepatic biliary drainage retained catheter |
| title | Percutaneous Balloon Retrieval Technique for Fractured Biliary Drainage Catheter in a Paediatric Patient: Can a Major Surgery be Averted? |
| title_full | Percutaneous Balloon Retrieval Technique for Fractured Biliary Drainage Catheter in a Paediatric Patient: Can a Major Surgery be Averted? |
| title_fullStr | Percutaneous Balloon Retrieval Technique for Fractured Biliary Drainage Catheter in a Paediatric Patient: Can a Major Surgery be Averted? |
| title_full_unstemmed | Percutaneous Balloon Retrieval Technique for Fractured Biliary Drainage Catheter in a Paediatric Patient: Can a Major Surgery be Averted? |
| title_short | Percutaneous Balloon Retrieval Technique for Fractured Biliary Drainage Catheter in a Paediatric Patient: Can a Major Surgery be Averted? |
| title_sort | percutaneous balloon retrieval technique for fractured biliary drainage catheter in a paediatric patient can a major surgery be averted |
| topic | adhesions cholangitis hepatico-jejunostomy percutaneous transhepatic biliary drainage retained catheter |
| url | https://www.jcdr.net/articles/PDF/16113/52391_CE[Ra1]_F(KR)_PF1(RD_SS)_PFA(SL)_PN(SHU).pdf |
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