Case Fifteen

Images:

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Case Summary

Diagnosis:  Choledocholithiasis


Clinical hints:

History differs from stones and cholecystitis. Need U/S for diagnosis. ERCP useful for definitive diagnosis, biliary tree roadmap, and treatment (tube drainage or stone removal). May find underlying CBD stricture.


Radiological Pearls:
  • stone(s) in CBD
     
  • CBD may be dilated
     
  • intrahepatic biliary tree dilated
     
  • may see stones in gallbladder


Films were kindly provided by Dr. A. Zalev.

 

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