LATE PRESENTATION OF POST ROAD TRAFFIC ACCIDENT WITH COMPLETE COMMON BILE DUCT TRANSECTION MANAGED BY PTBD GUIDED RENDEVOUS BILIARY DRAINAGE

Post RTA total transection of CBD is a difficult senario to managed especially when presented late.this leads to healing by fibrosis with no obvious communication with distal CBD leading to persistant biliary leak which increases morbidity and mortality.We managed the case with percutaneous transhepatic approach to gain access to the proximal bile duct followed by creating a false passage by stiff end of a terumo guidewire into the duodenum through the papilla and completing procedure by ERC.She was followed up after 2 months and plastic stent was replaced by retrivable self expandable metal stent.

Publication History

Article published online:
14 April 2022