Pancreatography is usually accomplished via endoscopic retrograde cannulation of the major papilla. If the endoscope cannot be passed to the major papilla due to duodenal obstruction or surgically altered anatomy, and the pancreatic duct is dilated, pancreatography can be performed via direct percutaneous puncture of the duct using imaging guidance. If neither of these methods are possible an alternative exists: percutaneous, transhepatic, transbiliary retrograde pancreatography. This technique, used successfully in 1 patient, is described.
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging