Abstract
Short segment involvement of the mid-portion of the common bile duct by pancreatic carcinoma is common. It is generally not appreciated on transhepatic cholangiograms or during percutaneous drainage procedures since the uninvolved distal duct is rarely opacified. This pattern helps explain the ease of passing guidewires beyond the initial point of obstruction during drainage procedures. Knowledge of this anatomy may also have diagnostic and therapeutic significance. In some situations a special effort to opacify the distal duct may be warranted.
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Freeny PC, Ball TJ: Endoscopic retrograde cholangiopan-creatography (ERCP) and percutaneous transhepatic cholan-giography (PTC) in the evaluation of suspected pancreatic carcinoma: diagnostic limitations and contemporary roles.Cancer 57:1666–1678, 1981
Sako S, Seitzinger GL, Garside E: Carcinoma of the extrahepatic bile ducts. Review of the literature and report of six cases.Surgery 41:416, 1957
Adson MA, Farnell MB: Hepatobiliary cancer — surgical considerations.Mayo Clin Proc 56:686–699, 1981
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Rosen, R.J., McLean, G.K. Short segment involvement of the common bile duct in pancreatic carcinoma. Gastrointest Radiol 8, 151–154 (1983). https://doi.org/10.1007/BF01948111
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DOI: https://doi.org/10.1007/BF01948111