Ultrasonically-guided Percutaneous Transhepatic Cholecystography (US-PTCC) for diagnosis of spontaneous internal biliary fistura.

概要

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Ultrasonically-guided Percutaneous Transhepatic Cholecystography (US-PTCC) were performed on 92 cases in our hospital between 1980 and 1983.Three cases of spontaneous internal biliary fistulas were diagnosed with US-PTCC, but other radiological examinations and ultrasonography could not reveal internal biliary fistula. All of them were old patients with gallbladder stones, a 69-year-old female with a cholecystoduodenocolic fistulas, a 77-year-old male with a cholecystoduodenal fistula and a 68-year-old female with a cholecystohepatico fistula.US-PTCC is to be performed in cases with non-visualized gallbladder by other radiological examinations. US-PTCC is the most reliable diagnostic procedure for spontaneous internal biliary fistulas between the gallbladder and adjacent organs.