Common bile duct sludge

Case contributed by Dr Hidayatullah Hamidi

Presentation

Episodes of epigastric area pain

Patient Data

Age: 3 years
Gender: Female

There is a well-defined, relatively echogenic structure without posterior acoustic shadowing in the common bile duct. No vascularity is seen.

Case Discussion

The features are very likely of sludge ball in the distal CBD than choledocholithiasis.

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