Presentation
Post cholecystectomy with T-tube insertion. Failure duct clearance.
Patient Data
Age: 35 years
Gender: Female
From the case:
Common bile duct stricture
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/32263/annotated_viewer_json?lang=us"}
T-tube cholangiogram performed.
Persistent filling defect in the distal duct in keeping with a CBD stone.
The distal CBD is narrowed, with proximal dilatation in keeping with a stricture ( and hence the stone situated at this segment of the duct ).
From the case:
Common bile duct stricture
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/32264/annotated_viewer_json?lang=us"}
Filling defect in keeping with a retained stone, proximal to a distal CBD stricture,
Case Discussion
An infrequently undertaken test the T-tube cholangiogram in this case demonstrates a retained stone and common bile duct stricture.