Presentation
During a CT scan performed for microhaematuria, incidental dilation of intrahepatic biliary ducts, CBD and pancreatic duct are seen. Normal LFTs.
Patient Data
CT showing dilated intrahepatic ducts, CBD, and pancreatic duct. "Double duct sign". No gallstones or signs of pancreatitis. No evidence of cholecystitis or pancreatitis.
MRI and MRCP confirm the CT findings. No mass identified or filling defect to suggest choledocholithiasis or mass as an etiology for the dilated biliary tree. A radioisotope scan ordered for confirmation.
Hepatobiliary scan confirms delayed excretion of tracer likely from sphincter of Oddi dysfunction. The CBD is dilated.
Case Discussion
Review of the patient's chart shows no abnormal laboratory tests, but only incidental findings. He has been on high dose morphine for pain for 10 years. This is the likely cause for the radiological findings and no further workup is needed.
Unable to process the form. Check for errors and try again.