Percutaneous transhepatic biliary drainage guided endoscopic retrograde cholangiopancreatography rendezvous technique for biliary stent placement: A case report

Figure 1 Admission magnetic resonance imaging. A: The tumor shows ill-defined margins with involvement of the right intrahepatic bile ducts and the pylorus (circle); B: Multiple small metastatic lymph nodes (circle); C: Dilated intrahepatic bile ducts (arrow).

Figure 2 Admission computed tomography. A: Percutaneous transhepatic biliary drainage catheter (arrow); B: Deformation and luminal narrowing of the descending duodenal stent (circle) and the hepatogastric hiatus and multiple small retroperitoneal lymph nodes (arrow).

Figure 3  Pyloric stenting well-positioned.

Figure 4  Schematic illustration of the guidewire slowly withdrawn by the coiled device (Supplementary material).

Figure 5  Multi-flap plastic biliary stent and visible bile flow.

Figure 6  Overall conceptual diagram of the endoscopic retrograde cholangiopancreatography and percutaneous transhepatic biliary drainage (Supplementary material).