Skip to main content

Percutaneous transhepatic cholangiography in the investigation of the persistent postoperative bile leak


Percutaneous transhepatic cholangiography (PTHC) is now a widely available, inexpensive investigation with a low incidence of complications, especially in the nonobstructed system, and a high success rate. Its role in the management of obstructive jaundice is well established but it is only infrequently performed in the investigation of persistent bile leakage following biliary tract surgery. Four cases are reported in which the superior demonstration of biliary anatomy provided by PTHC allowed successful identification of the site of postoperative biliary leakage. We compared PTHC with other diagnostic imaging techniques available and conclude that it is a safe, accurate, and reliable technique.

This is a preview of subscription content, access via your institution.


  1. Rappoport AS, Diamond AB: Cholangiographic demonstration of post-operative bile leakage from aberrant biliary ducts.Gastrointest Radiol 6:273–276, 1981

    Google Scholar 

  2. Wiener SN, Vyas M: The scintigraphic demonstration of bile leakage utilising (3) I-rose bengal.J Nucl Med 15:1044–1046, 1974

    Google Scholar 

  3. Weissman HS, Chun KJ, Frank M, Koenigsberg M, Milstein DM, Freeman LM: Demonstration of traumatic bile leakage with cholescintigraphy and ultrasonography.AJR 133:843–847, 1979

    Google Scholar 

  4. Harbin WP, Mueller PR, Ferrucci JT: Transhepatic cholangiography: complications and use patterns of the fine needle technique.Radiology 135:15–22, 1980

    Google Scholar 

  5. Wise RE:Intravenous Cholangiography. Springfield, Illinois: Charles C. Thomas, 1962

    Google Scholar 

  6. Okuda K, Tanikawa K, Emura T, Kuratomi S, Jinnoucki S, Urabe K, Sumikoshi T, Kanda Y, Fukuyama Y, Musha H, Mori H, Shimokawa Y, Yakushiji F, Matsuura Y: Nonsurgical percutaneous transhepatic cholangiography — diagnostic significance in medical problems of the liver.Am J Dig Dis 19:21–35, 1974

    Google Scholar 

  7. Pereiras R Jr, Chiprut RO, Greenwald RA, Schiff ER: Percutaneous transhepatic cholangiography with the “skinny” needle. A rapid, simple, and accurate method in the diagnosis of cholestasis.Ann Intern Med 86:562–568, 1977

    Google Scholar 

  8. Gold RF, Price JB: Thin needle cholangiography as the primary method for the evaluation of the biliary-enteric anastomosis.Radiology 136:309–316, 1980

    Google Scholar 

Download references

Author information

Authors and Affiliations


Rights and permissions

Reprints and Permissions

About this article

Cite this article

Kissin, C.M., Grundy, A. Percutaneous transhepatic cholangiography in the investigation of the persistent postoperative bile leak. Gastrointest Radiol 12, 215–218 (1987).

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI:

Key words