Placement of percutaneous transhepatic biliary stent using a silicone drain with channels

Figure 1 Percutaneous drainage catheters were inserted into each abscess, and pus was discharged. Abscessography demonstrated communications between the dilated intrahepatic bile duct of the anterior branch and each abscess.

Figure 2 The catheter (11-Fr PTCS tube, Sumitomo Bakelite, Tokyo, Japan) with several side holes was placed in the jejunal limb through the intrahepatic bile duct and passed through the stenosis of the hepaticojejunostomy.

Figure 3 One week after initial insertion of the 11-Fr tube, cholangiography was performed via the tube. After insertion of a 0.035-inch guide wire, the 11-Fr tube was switched to a 10-Fr BLAKE Silicone Drain.