Percutaneous transhepatic cholangiography(PTC/PTHC) RADIOLOGY PROCEDURE for BILIARY SYSTEM

                          PTC/PTHC
Percutaneous transhepatic cholangiography

Definition :--
Percutaneous transhepatic cholangiohraphy is a radiological procedure used to visualize the anatomy of the biliary tract. In which contrast medium is injected into a bile duct in the liver after which x rays are taken.

Contrast :--
Iodinated contrast (dye)

Indication :--
Biliary stones
Biliary strictures

Risk Factors :---
contrast reaction

Equipments :--
Fluoroscopy Guidelines
Ultrasound Guidelines
Needle ( 22G , 15 cm long )

Procedure:--
In which a thin needle is inserted through the skin(Percutaneous) under image guidance and through the liver(Transhepatic) into a bile duct.

When the needle reaches the bile duct then dye is injected and the bile duct system is outline on x rays. And then images are taken.

Filming :--
plain film Abdoman AP
After contrast -
Abdomen AP & RAO 

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                 Mr. KAMLESH MEHTA 
              ASSOCIATE  PROFESSOR
                 RADIATION   PHYSICS
                     GMCH, UDAIPUR



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