Text
Imaging of Common Bile Duct Stones
The gallbladder serves as the repository for bile produced in the However, bile within the gallblader many become supersaturated with cholesterol, leading to crystal precipitation and subsequent gallstone formation. Gallstone is one of the most common gastrointestinal diseases in clinical practice. Cormmon bile duct stone may be silent and symptomless; alternatively, the stone can cause acate cholangitis with jaundice, pain and fever and pancreatitis. Imaging of the gallbladder is typically requested for evaluation of right quadrant pain in patients with or without fever and jaundice. Hence imaging is central to the investigation and diagnoses of choledocholithiasis. There are amny eptions in the field of maging of choledocholithiasis from a simple to more suphisticated examinations. Ultrasonography (US) has been the traditional modality for evaluating gallbladder disease, primarily owing to its high sensitivity and specificity for both stone diseaseand gallblader inflammation. However, US is limited by patient body habitus, with degradation of image quaality and anatomic detail in obese individuals. With the advent of faster and more efficient imaging techniques, magnetic resonance (MR) imaging has assmed an increasing role as an adjunct modality for gallbladderimaging. MR imaging allows simultaneous anatomic and physiologic assessment of the gallbladder and biliary tract. Magnetic resonance cholangiopancreatographyis excellent for identifying the presence and the level of biliary obstruction. With is excellen for identifying the presence and the level of biliary obstruction. With newer diagnostic imaging technologies emerging, endoscopic retrograde cholangiopancreatography is evolving into a ppredominantly therapeutic precedure.
No other version available