Tang BX, Li XL, Wei N, Tao T. Percutaneous transhepatic cholangial drainage-guided methylene blue for fistulotomy using dual-knife for bile duct intubation: A case report. World J Gastrointest Surg 2023; 15(6): 1211-1215 [PMID: 37405085 DOI: 10.4240/wjgs.v15.i6.1211]
Corresponding Author of This Article
Tao Tao, PhD, Deputy Director, Department of Gastroenterology, Zibo Central Hospital, No. 54 Gongqingtuanxi Road, Zibo 255000, Shandong Province, China. tao_tao79@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Jun 27, 2023; 15(6): 1211-1215 Published online Jun 27, 2023. doi: 10.4240/wjgs.v15.i6.1211
Percutaneous transhepatic cholangial drainage-guided methylene blue for fistulotomy using dual-knife for bile duct intubation: A case report
Bing-Xi Tang, Xin-Li Li, Ning Wei, Tao Tao
Bing-Xi Tang, Ning Wei, Tao Tao, Department of Gastroenterology, Zibo Central Hospital, Zibo 255000, Shandong Province, China
Xin-Li Li, Laboratory Section, Zibo Central Hospital, Zibo 255000, Shandong Province, China
Author contributions: Tang BX performed the endoscopic retrograde cholangiopancreatography procedure and wrote the manuscript; Tao T designed the research study; Li XL and Wei N helped collecting medical data; all authors have read and approve the final manuscript.
Informed consent statement: Informed written consent was obtained from the patients for the publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Tao Tao, PhD, Deputy Director, Department of Gastroenterology, Zibo Central Hospital, No. 54 Gongqingtuanxi Road, Zibo 255000, Shandong Province, China. tao_tao79@163.com
Received: January 25, 2023 Peer-review started: January 25, 2023 First decision: February 21, 2023 Revised: March 14, 2023 Accepted: April 17, 2023 Article in press: April 17, 2023 Published online: June 27, 2023 Processing time: 140 Days and 23.8 Hours
Abstract
BACKGROUND
Difficult bile duct intubation is a big challenge for endoscopists during endoscopic retrograde cholangiopancreatography (ERCP) procedure. We report a case of percutaneous transhepatic cholangial drainage (PTCD)-guided methylene blue for fistulotomy using dual-knife for bile duct intubation.
CASE SUMMARY
A 50-year-old male patient had developed obstructive jaundice, and ERCP procedure need to be performed to treat the obstructive jaundice. But intubation cannot be performed if the duodenal papilla cannot be identified because of previous surgery for a perforated descending duodenal diverticulum. We used PTCD-guided methylene blue to identify the intramural common bile duct before dual-knife fistulotomy, and bile duct intubation was successfully completed.
CONCLUSION
The method that combing methylene blue and dual-knife fistulotomy to achieve bile duct intubation during difficult ERCP is safe and effective.
Core Tip: We report a case of difficult bile duct intubation during endoscopic retrograde cholangiopancreatography (ERCP) procedure. We introduce the clinical features, findings of ERCP, and response to treatment in this male patient.
