case_images: PMC2809321_01
case_images: Percutaneous transhepatic cholangiography (PTC) showing the dilated segmental intrahepatic ducts excluded by the main biliary duct. A plastic stent is placed in the main duct.
case_images: JTRAN2009-824803.001.jpg
case_images: PMC2809321_01_JTRAN2009-824803.001.jpg
case_images: fig1
case_images: After this procedure the patient was submitted to a percutaneous transhepatic cholangiography (PTC) showing a complete obstruction of segments VI and VII biliary branches near the duct-to-duct biliary anastomosis (Figure 1).
case_images: Cholangiogram showing the guide wire (arrow) during unsuccessful attempts to cross the anastomotic obstruction.
case_images: JTRAN2009-824803.002.jpg
case_images: PMC2809321_01_JTRAN2009-824803.002.jpg
case_images: fig2
case_images: It was impossible to cross the biliary stricture by a torque catheter and by hydrophilic guide wire (Figure 2).
case_images: Intraoperative cholangiogram showing the complete filling with glue of excluded intrahepatic bile ducts.
case_images: JTRAN2009-824803.003.jpg
case_images: PMC2809321_01_JTRAN2009-824803.003.jpg
case_images: fig3
case_images: This solution completely filled the biliary duct, and the occlusion was totally accomplished in a few seconds (Figure 3).