Abstract
A 66-year-old man with fever and jaundice came our hospital. Blood tests showed increased inflammatory response and elevated enzymes of the hepatobiliary tract Pancreatic head tumors and distention of the common bile duct were observed on computed tomography scan. The patient was diagnosed as obstructive cholangitis triggered by pancreatic cancer and was hospitalized. Because endoscopic retrograde cholangiopancreatography failed, a plastic stent was placed into a stricture by the percutaneous transhepatic biliary drainage (PTBD) -guided rendezvous procedure. Because arterial hemorrhage occurred at the time of PTBD tube removal, coil embolization was performed after emergency hepatic arteriography. Fasting, replacement fluid, and antimicrobial administration improved cholangitis and jaundice. We report a case of internal fistulization performed by PTBD-guided rendezvous procedure to obstructive jaundice induced by malignant biliary stricture
