Endoscopy 2003; 35(1): 89-91
DOI: 10.1055/s-2003-36416
Case Report

© Georg Thieme Verlag Stuttgart · New York

Magnetic Resonance-Guided Biliary Drainage in a Patient with Malignant Obstructive Jaundice and Thrombocytopenia

S.  Faiss 1 , M.  Zeitz 1 , K.  J.  Wolf 2 , J.  S.  Lewin 3 , F.  K.  Wacker 3
  • 1Department of Gastroenterology, Benjamin Franklin Hospital, Free University, Berlin, Germany
  • 2Department of Radiology, Benjamin Franklin Hospital, Free University, Berlin, Germany
  • 3Department of Radiology University Hospitals of Cleveland, Case Western Reserve University, Cleveland, Ohio, USA
Further Information

Publication History

Submitted: 11 July 2002

Accepted after Revision: 3 October 2002

Publication Date:
02 January 2003 (online)

In a patient suffering from malignant obstructive jaundice and thrombocytopenia, magnetic resonance imaging (MRI) was used to guide percutaneous transhepatic biliary drainage, to avoid blind puncture of the bile ducts using fluoroscopy. The first puncture approach was successful, and an MRI-visible guide wire and drainage catheter were inserted successfully within 35 min. The course after the intervention was uneventful, and the patient's fever and itching improved. MRI guidance facilitated optimal procedure planning and high puncture accuracy.

References

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S. Faiss, M.D.

Dept. of Gastroenterology · Benjamin Franklin Hospital · Free University of Berlin ·

Hindenburgdamm 30 · 12200 Berlin · Germany

Fax: + 49-30-8441-1308

Email: faiss@ukbf.fu-berlin.de