Figure 8.

68-year-old female with known unresectable pancreatic adenocarcinoma located within the pancreatic head presented with elevated bilirubin levels and medically unresponsive pruritus. (a) Axial plane postcontrast CT image shows PC (arrows) encircling and obliterating the distal common bile duct. (b) MRCP image shows dilation of the proximal intra- and extrahepatic bile ducts (arrowheads). (c) Percutaneous biliary drainage was performed through right liver lobe and the occlusion caused by the mass (arrow) and a bare metal stent was implanted (d) Follow-up cholangiography from the safety catheter showed satisfactory flow through the stent. The safety catheter was removed at the same session. MRCP, magnetic resonance cholangiopancreatography; PC, prostate cancer;