What is percutaneous transhepatic cholangiography?
Definition Percutaneous transhepatic cholangiography (PTHC) is an x-ray test used to identify obstructions either in the liver or bile ducts that slow or stop the flow of bile from the liver to the digestive system. Purpose Because the liver and bile ducts are not normally seen on x rays, the doctor injects the liver with a special dye that will show up on the resulting picture. This dye distributes evenly to fill the whole liver drainage system. If the dye does not distribute evenly, this is indicative of a blockage, which may be caused by a gallstone or a tumor in the liver, bile ducts, or pancreas. Precautions Patients should report allergic reactions to: • anesthetics • dyes used in medical tests • iodine • shellfish PTHC should not be performed on anyone who has cholangitis (inflammation of the bile duct), massive ascites, a severe allergy to iodine, or a serious uncorrectable or uncontrollable bleeding disorder. Patients who have diabetes should inform their doctor. Description P
