Choledocholithiasis - CT IVC

Case contributed by Dr Chris O'Donnell

Presentation

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

Patient Data

Age: 80
Gender: Female
CT

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. 

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Case information

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

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