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Case Reports
. 2018 Oct 22;6(12):2333-2337.
doi: 10.1002/ccr3.1836. eCollection 2018 Dec.

Successful biliary cannulation by the rendezvous technique via percutaneous transhepatic gallbladder drainage: A report of two cases

Jae Min Lee  1 , Ra Ri Cha  1 , Wan Soo Kim  1 , Jin Joo Kim  1 , Sang Soo Lee  1 , Hong Jun Kim  2 , Hyun Jin Kim  1 , Tae Hyo Kim  2 , Woon Tae Jung  2 , Ok Jae Lee  2
Affiliations
Case Reports

Successful biliary cannulation by the rendezvous technique via percutaneous transhepatic gallbladder drainage: A report of two cases

Jae Min Lee et al. Clin Case Rep. .

Abstract

Reports of the rendezvous technique via percutaneous transhepatic gallbladder drainage are very rare because of difficulties with insertion of the guidewire from the gallbladder into the common bile duct. In particular, our report includes a case with distal common bile duct stricture. To our knowledge, such a case has never been previously reported.

Keywords: biliary cannulation; distal common bile duct stricture; endoscopic retrograde cholangiopancreatography; percutaneous transhepatic gallbladder drainage; rendezvous technique.

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Figures

Figure 1
Figure 1
Abdominal computed tomography scan shows distal common bile duct stricture (arrow) with gallbladder distension due to infiltration and pseudocyst of the pancreatic head
Figure 2
Figure 2
The rendezvous technique via percutaneous transhepatic gallbladder drainage tube. A, Fluoroscopic view shows successful insertion of a guidewire from the gallbladder into the duodenal second portion via PTGBD catheter. B, Percutaneous insertion of the guidewire in the second portion of the duodenum on duodenoscopic finding. C, The inserted guidewire was caught with snare catheter and withdrawn through the channel of a duodenoscope. D, An ERCP catheter was inserted along the withdrawn guidewire for selective biliary cannulation
Figure 3
Figure 3
Abdominal computed tomography scan shows distal common bile duct stone (arrow) and periampullary diverticulum without dilatation of the intrahepatic duct and common bile duct
Figure 4
Figure 4
The rendezvous technique via percutaneous transhepatic gallbladder drainage tube. A, Fluoroscopic view shows successful insertion of a guidewire from the gallbladder into the duodenal second portion through PTGBD catheter. B, Percutaneous insertion of the guidewire in the second portion of the duodenum during duodenoscopy. C, The inserted guidewire was caught with alligator forceps and removed from the instrument channel. D, A papillotome was inserted along the withdrawn guidewire for selective biliary cannulation
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References

    1. Larkin CJ, Huibregtse K. Precut sphincterotomy: indications, pitfalls, and complications. Curr Gastroenterol Rep. 2001;3(2):147‐153. - PubMed
    1. Cote GA, Ansstas M, Pawa R, et al. Difficult biliary cannulation: use of physician‐controlled wire‐guided cannulation over a pancreatic duct stent to reduce the rate of precut sphincterotomy (with video). Gastrointest Endosc. 2010;71(2):275‐279. - PubMed
    1. Calvo MM, Bujanda L, Heras I, et al. The rendezvous technique for the treatment of choledocholithiasis. Gastrointest Endosc. 2001;54(4):511‐513. - PubMed
    1. Martin DF. Combined percutaneous and endoscopic procedures for bile duct obstruction. Gut. 1994;35(8):1011‐1012. - PMC - PubMed
    1. Freeman ML, Guda NM. ERCP cannulation: a review of reported techniques. Gastrointest Endosc. 2005;61(1):112‐125. - PubMed

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