42 years Old Female with History of Epigastric Pain and Jaundice
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2017, Vol 1, Issue 4
Abstract
Choledocholithiasis denotes the presence of gallstones within the bile ducts (common hepatic duct/ common bile duct). US is best choice of investigation for the patient with history of epigastric pain and jaundice as initial work up along with clinical and laboratory exam as it is easily available, cheap, non-invasive and no radiation. Magnetic resonance (MR), cholangiopancreatography (MRCP) is increasingly being used to evaluate pancreatobiliary disease, providing a noninvasive alternative to endoscopic retrograde cholangiopancreatography (ERCP) [1]. Many reports have described its usefulness and diagnostic accuracy in evaluating various pancreatobiliary abnormalities [2-3], and, according to some reports, in many instances MRCP can replace diagnostic ERCPAlthough ultrasound is usually the first investigation for biliary disease, it has average sensitivity for the detection of biliary stones within the bile duct. Sensitivity has been variably reported between 13-55%, with newer studies having higher values due to improved equipment. CBD must be evaluated completely up to distal end when it passes through the pancreatic head by longitudinal and transverse scan fully looking stone or abnormal mass
Authors and Affiliations
Sushila B Ladumor, Adham Darweesh, Hiba Esmayil
Keywords
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- EP ID EP570601
- DOI 10.26717/BJSTR.2017.01.000365
- Views 138
- Downloads 0
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