Proposed PTCD for choledocholithiasis with cholangitis means that you currently have choledocholithiasis with inflammation of the bile ducts, and you are ready to use PTCD (percutaneous hepatic perforation biliary drainage) to relieve your symptoms.
Common bile duct stones can be categorized as primary stones (associated with biliary tract infections, biliary tract obstruction, biliary foreign bodies, etc.) and secondary stones (which may be the result of gallbladder stones being drained into the bile ducts and remaining there). Retention of stones in the bile ducts can lead to bile stasis and infection, resulting in acute and chronic cholangitis.
PTCD is a diagnostic and therapeutic tool for choledochal stones with cholangitis. It is usually achieved with decompression, preoperative yellowing reduction and stent placement.
It generally refers to percutaneous, hepatic penetration of the intrahepatic bile ducts under the guidance of imaging (X-ray or ultrasound, etc.), where a contrast agent is injected into the bile ducts to rapidly visualize the intra- and extrahepatic bile ducts, and, at the same time, biliary drainage may be carried out through the puncture tube.
The proposed PTCD for choledocholithiasis with cholangitis should be performed under the guidance of a specialized physician.