ALLAN A. KAPLAN, M.D.; JAMES J. TRAITZ, M.D.; STANLEY D. MITCHEL, M.D.; ALVIN L. BLOCK, M.D.
The task of differentiating obstructive jaundice from hepatocellular jaundice is frequently exceedingly difficult. It is recognized that viral hepatitis may masquerade as obstructive jaundice in laboratory tests, and it is equally appreciated that obstructive jaundice may give evidence of hepatocellular damage, particularly if it has been of long standing. To complicate the problem further, the entity of intrahepatic cholestasis must be appreciated when a surgical approach to the obstructed state is considered. Within the past several years, a number of papers have appeared that outlined the technic of injecting dye directly into the biliary tree in states of obstructive
KAPLAN AA, TRAITZ JJ, MITCHEL SD, BLOCK AL. PERCUTANEOUS TRANSHEPATIC CHOLANGIOGRAPHY1. Ann Intern Med. ;54:856–869. doi: 10.7326/0003-4819-54-5-856
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Published: Ann Intern Med. 1961;54(5):856-869.
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