Common bile duct stricture

Case contributed by Dr Ian Bickle

Presentation

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

Patient Data

Age: 35
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.

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Case information

rID: 31447
Published: 9th Oct 2014
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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