Choledocholithiasis

Case contributed by Dr Bruno Di Muzio

Presentation

Patient with abdominal pain in right hypochondrium. History of surgery to remove the gallbladder.

Patient Data

Age: 87
Gender: Female

MRI cholangiography (selected images)

Modality: MRI

Filling defects are seen within the biliary tree on thin cross-sectional T2 weighted image.

Case Discussion

MRI T2 weighted imaging: filling defects on dilated biliary tree. No gallbladder was seen.   

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

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Case Information

rID: 13898
Case created: 29th May 2011
Last edited: 5th Sep 2015
Inclusion in quiz mode: Included

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