Choledocholithiasis (CT IVC)

Case contributed by Dr Chris O'Donnell

Presentation

Epigastric pain. Past history of papillary stenosis, treated with ERCP. US shows CBD = 12 mm.

Patient Data

Age: 80 years
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 a very useful examination for the detection of bile duct pathology if the serum bilirubin is less than 2x elevated.  Beyond this level, the contrast agent is poorly excreted. 

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Case information

rID: 16736
Published: 16th Feb 2012
Last edited: 13th Aug 2019
Inclusion in quiz mode: Included

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