Common bile duct stricture

Case contributed by Dr Ian Bickle

Presentation

Post cholecystectomy with T-tube insertion. Failure duct clearance.

Patient Data

Age: 35 years
Gender: Female
Fluoroscopy

T-tube cholangiogram performed.

Persistent filling defect in the distal duct in keeping with a CBD stone.

The distal CBD is narrowed, with proximal dilatation in keeping with a stricture ( and hence the stone situated at this segment of the duct ).

Annotated image

Filling defect in keeping with a retained stone, proximal to a distal CBD stricture,

Case Discussion

An infrequently undertaken test the T-tube cholangiogram in this case demonstrates a retained stone and common bile duct stricture.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

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

 Thank you for updating your details.