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PERCUTANEOUS MANIPULATIONS OF THE BILIARY TRACT

PERCUTANEOUS MANIPULATIONS OF THE BILIARY TRACT

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Balloon dilation to 10 mm<br />

Sudden give<br />

Stent opened<br />

What did the operator notice?<br />

What did anesthesia notice?<br />

What to do?<br />

So where is the bleeding from?<br />

Next step??<br />

Your Rx??<br />

Did you see the<br />

cavernous<br />

transformation<br />

that showed up<br />

on the<br />

cholangiogram?<br />

Acceptable?<br />

Next step?<br />

Patience can<br />

sometimes be a virtue<br />

Pt discharged day 5<br />

BP and Hgb stable<br />

Pruritis resolved<br />

Total Bili 1.8<br />

Tube capped<br />

When should tube be removed?

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