Percutaneous drainage.

Case 1: Bilateral percutaneous biliary drainage for obstructive jaundice due to cholangiocarcinoma. Ken U. Ekechukwu, MD, MPH, FACP.

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History: An 87-year-old man was admitted to a hospital because of jaundice. He was found to have conjugated and unconjugated hyperbilirubinemia, the former more than the latter. His cross-sectional imaging revealed marked dilation of his extra-hepatic and intra-hepatic bile ducts that proved inaccessible at endoscopic retrograde cholangiopancreatography (ERCP). He was referred to interventional radiology for […]

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CT-guided percutaneous drainage of a deep pelvic abscess. Ken U. Ekechukwu, MD, MPH, FACP.

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When abscesses form deep in the pelvis and cannot be safely drained percutaneously through the anterior abdominal wall, they can be approached by inserting drainage catheters through the buttock (transgluteal), the vagina (transvaginal), or the rectum (transrectal). Often this is facilitated by the use of CT or ultrasound guidance depending on the approach chosen and […]

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Percutaneous insertion of a nephrostomy catheter. Ken U. Ekechukwu, MD, MPH, FACP.

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Percutaneous nephrostomy is the insertion of a drainage catheter through the skin into the collecting system of a kidney to relieve obstruction of its drainage system. Kidney cells produce urine which passes into the renal tubules and empties into the renal calyces. From the calyces, urine passes into the renal pelvis through the renal infundibula […]

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