Choledocholithiasis

Case contributed by Dr Bruno Di Muzio

Presentation

Biliary colic.

Patient Data

Age: 85
Gender: Female

MRI images illustrates gallstones in the bile duct promoting its dilatation. There is also a small amount of gallbladder sludge. 

MRI images illustrates gallstones in the bile duct promoting its dilatation. There is also a small amount of gallbladder sludge. 

Case Discussion

MRCP has largely replaced ERCP as the gold standard for diagnosis of choledocholithiasis, able to achieve similar sensitiviy and specificity (approaching 100%) without ionizing radiation, intravenous contrast or complication rate inherent in ERCPs.

Like in this case, filling defects are seen within the biliary tree on thin cross-sectional T2 weighted imaging. 

 

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