| Biliary stones |
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| Saturday, 29 May 2010 15:00 |
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History (HX): Abdominal pain and mild jaundice . female 65y
Findings:Moderate dilatation of the intra and extrahepatic bile ducts and multiple small signal void foci within the CBD, CHD, right and left hepatic ducts and also in gallbladder compatible with stones Diagnostic (DX): Biliary stones (gallstones and choleducolithiasis) Discussion: MRCP is a non-invasive method of imaging the biliary tree. Although ERCP has been the mainstay for diagnosing and treating pancreaticobiliary disease. Complications such as pancreatitis, cholangitis, hemorrhage and duodenal perforation have limited its use as a routine diagnostic test and MRCP can replace diagnostic ERCP where it is difficult or impossible to perform |
