July 2005

Echogenic structures in slightly dilatated extrahepatic bile ducts

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Clinical information

Cholestasis with raised liver enzymes

Ultrasound Images & Clips

68 year old male, Cholestasis with raised liver enzymes

Longitudinal image of the bile ducts filled with reflective structures.

There are no gallstones in the gallbladder.

The common bile duct is only slightly dilatated.

The intrahepatic bile ducts are slightly dilatated.

An ERCP shows filling defects which proved to be bloodclots. The bloodclots cause a moderate bile duct obstruction. The patient had hemobilia. Hemobilia can have several causes such as trauma or tumors. In this case no cause for the hemobilia was found an

This image shows reflective material in the common bile duct caused by thickened bile.

This image shows a reflective structure in the bile duct that proved to be a bile duct carcinoma.

This image shows a dilatated bile duct with bile duct stones.

Details

Sex: Male
Age: 68

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Fujifilm Ultrasound System

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Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.

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