Friday 7 December 2012

Common bile duct stone (Choledocholithiasis)

  • CBD stones may be asymptomatic with no features of cholangitis and present with abnormal liver biochemistry, usually with a cholestatic picture
  • US will usually gallbladder stones and may show the obstructed CBD containing a stone
  • MRCP is more sensitive than transabdominal US and is sometimes performed if there is a high index of suspicion and the latter is negative
  • An alternative technique for imaging the biliary system is endoscopic US

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