Case 14 : Percutaneous Radiologic Gastrostomy: Navigating Angles with Balloon Assistance

Percutaneous Radiologic Gastrostomy: Navigating Angles with Balloon Assistance Percutaneous radiologic gastrostomy is a procedure where air is injected into the stomach, then the stomach wall is pressed against the abdominal wall. Under fluoroscopy guidance, a needle is used from outside the skin to puncture the stomach, and then a tube is inserted Today, I will … Read more

Today’s case 5 – Liver abscess percutaneous drainage case (Hepato-venous fistula)

Liver abscess percutaneous drainage case (Hepato-venous fistula) A 40-year-old male undergoing cancer treatment for pancreatic cancer due to pancreas cancer presented to the emergency room after experiencing a fever for three consecutive days. A CT scan revealed the presence of abscess formation with a double target sign in segment 6 of the liver. The patient … Read more

Percutaneous transhepatic biliary drainage (PTBD) for nondilated bile duct patient (patient without cholangitis): Nondilated bile duct PTBD

PTBD

PTBD is useful minimal invasive technique for bile drainage but when the patient’s bile duct is not dilated, the procedure gets really difficult Since nondilated bileduct is not well visualized on ultrasound, multiple puncture through the liver is needed than usual which makes the patient feel severe pain (even with enough local anesthesia) and makes … Read more