Choledocholithiasis and biliary obstruction

Case contributed by Dr Ahmed Abd Rabou

Presentation

Right hypochondrial pain, jaundice and itching of 1 week duration

Patient Data

Age: 75
Gender: Male

A large stone returns low signal in all pulse sequence is seen impacted at the distal segment of CBD causing proximal dilatation of the CBD and intra hepatic biliary radicals

Diagnosis: CBD stone with proximal biliary obstruction

Case Discussion

Other DD of obstructive jaundice include periampullary carcinoma, cholangiocarcinoma and pancreatic head cancer. MRCP is best used in patients with impaired renal function and contrast sensitivity when CT is contraindicated.

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Case information

rID: 24410
Case created: 13th Aug 2013
Last edited: 17th Dec 2015
Tag: cbd
Inclusion in quiz mode: Included

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