Usefulness of percutaneous cholangiography combined with CT in post-operative patients with hepato-biliary surgery

Abstract

Hepato-biliary surgery for malignancies has a high mortality rate (7,3%) with also a high rate of readmitted patients within the first 30 days of discharge (14,3- 15,5%) (1). After hepato-biliary surgery medical imaging is essential: computed tomography (CT) is required to detect collections, ultrasonography to assess dilatated biliary ducts and percutaneous cholangiography (PC) to ensure safe withdrawal of biliary drain or Kehr's drain. A recent paper published in the JBR-BTR depicted the interest of double contrast percutaneous transhepatic cholangiographic CT (DCPCT- CT) to explore bile duct obstruction, combining PC and CT with iodine injection (2). We would like to report on our experience with a recent procedure combining PC and CT without iodine injection, demonstrating anastomotic leak in jejunobiliary anastomosis.