Abstract
Hepaticodochojejunostomy with an afferent limb constructed to provide a permanent access route for retrograde biliary dilatation has been described. The computed tomographic (CT) scans of 12 patients who had undergone this procedure were reviewed. The appearance of the afferent limb from its position within the subcutaneous tissues to its anastomosis with the biliary tree is described and illustrated.
Recognition of the limb as a surgical pathway is important because familiarity with its anatomy will avoid errors in CT interpretation and aid in successful transjejunal catheterization of the bile ducts.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Hutson DJ, Russell E, Schiff E, Levi JJ, Jeffers L, Leppa R: Balloon dilatation of biliary stricture through a choledo-chojejunocutaneous fistula.Ann Surg 199:637–647, 1984
Russell E, Yrizarry JM, Huber JS, Nunez D, Hutson DG, Schiff E, Reddy KR, Jeffers LJ, Williams A: Percutaneous transjejunal biliary dilatation: alternate management for benign strictures.Radiology 159:209–214, 1986
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Montalvo, B.M., Fanney, D.R., Yrizarry, J.M. et al. Hepaticodochojejunostomy with afferent limb: CT anatomy. Gastrointest Radiol 14, 246–250 (1989). https://doi.org/10.1007/BF01889208
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01889208