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Updated on November 26, 2024

Multiple Biliary Calculi

Clinical History

A 76-year old man presented with abdominal pain, vomiting, and jaundice. His blood test showed raised infection markers and deranged LFTs. Abdominal ultrasound was requested as the first line of imaging.

Case Description

Ultrasound revealed multiple large calculi within the lumen of the dilated common bile duct (multiple biliary calculi) measuring 12 mm in AP dimension. The gallbladder was thick-walled and contained some tiny calculi within its lumen.

Diagnosis/ Discussion/ Treatment/ Follow up

The patient had magnetic resonance cholangiopancreaticography  (MRCP) which confirmed the ultrasound findings.

Sonograms

Thick-walled gallbladder
Thick-walled gallbladder
Axial sonogram of the thick-walled gallbladder
Axial sonogram of the thick-walled gallbladder
Dilated common bile duct containing multiple oval-shaped echogenic structures
 Dilated common bile duct containing multiple oval-shaped echogenic structures
Dilated common bile duct containing multiple oval-shaped echogenic structures
Dilated common bile duct containing multiple oval-shaped echogenic structures
MRCP; coronal image showing the dilated CBD containing multiple filling-defects
MRCP; coronal image showing the dilated CBD containing multiple filling-defects
Multiple oval-shaped structures within the lumen of the CBD (multiple biliary calculi)
Multiple oval-shaped structures within the lumen of the CBD

Published on: October 9, 2024

Author

Sonohive

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Multiple Biliary Calculi

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