A Study on Symptology and Accuracy of Trans abdominal Ultra sonography in Common Bile Duct Stone
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 5
Abstract
Patients of common bile duct (CBD) stone mostly present with abdominal pain in the upper or middle-upper abdomen, fever, jaundice (yellowing of the skin and eyes), and loss of appetite, nausea and vomiting. When a gallstone is stuck in the bile duct, the bile can become infected. The bacteria from the infection can spread rapidly. It can move into the ductal system and then into the liver. It can become a life-threatening infection. The pain caused by gallstones in the bile duct can be sporadic, or it can linger. The pain may also be mild at times and then suddenly severe. Severe pain may require emergency medical treatment. The most severe symptoms are commonly confused with a cardiac event. If patient have symptoms, a doctor will want to verify the presence of a gallstone in the common bile duct. At that time first imaging tests is Trans abdominal ultrasound (TUS). This study is aimed to find out incidence of different symptoms in patients of CBD stone and find out the accuracy trans abdominal ultra sonography in CBD stone. The method is A Prospective randomized study was conducted in civil hospital on 50 patients who were diagnosed as common bile duct stones by trans abdominal ultra sonography. CBD exploration by open operative method acted as definitive test for measurement of accuracy trans abdominal ultra sonography. The results in my series of study symptoms of patient having choleo cholithiasis were abdominal pain in right hypo chondrium (100%), clinical jaundice (92%), anorexia, nausea, vomiting (76%), fever (44%), yellow urine (56%) and pruritus (40%). The accuracy trans abdominal ultra sonography was 94%.In conclusion CBD stone, patients mostly presents as abdominal pain, fever, clinical jaundice and nausea, vomiting. Combination of these like symptoms helps in diagnosis as CBD stone. But these are verified by trans abdominal ultra sonography which is can act as first line investigation. But the ERCP is best investigation in CBD stone because it can cure the disease. Keywords: CBD stone, Different symptoms, Tran abdominal ultra sonography
Authors and Affiliations
Dr Jatinkumar B. Modi, Dr Kunal C. Modi
Keywords
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