Intrahepatic biliary

  ERCP SEMS Deployment in Klatskin (Cholangiocarcinoma) tumour. Indication: Obstructive jaundice due to Klatskin tumor & DM   THANK YOU FOR THE COURTESY OF THIS KIND REFERRAL. FINDINGS Papilla : Bile flow absent Cholangiogram : CBD & CHD shows irregular narrowing. Intrahepatic biliary channels moderately dilated. Pancreatogram : Not attempted.   Therapy : pre-cut neddle […]