Choledocholithiasis - CT IVC

Case contributed by Dr Chris O'Donnell


Epigastric pain. PH of papillary stenosis, Rx ERCP. US shows CBD = 12 mm

Patient Data

Age: 80
Gender: Female

CT cholangiogram chosen as patient is not jaundiced, 100 ml Biliscopin infused over 30 minutes. 

CT cholangiogram showing gas in the dilated biliary tree from previous sphicterotomy, and stones in lower dilated CBD.

Case Discussion

CT cholangiography is very useful examination for detection of bile duct pathology if the serum bilirubin is less than 2x elevated.  Beyong this level the contrast agent is poorly excreted. 

PlayAdd to Share

Case information

rID: 16736
Case created: 16th Feb 2012
Last edited: 4th Jan 2016
Inclusion in quiz mode: Included

Updating… Please wait.

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.