Biliary system. Anatomy. Plain x ray. GB stone in 10 %. Gas in biliary tree. Gall stone ileus. Gas in GB wall. Porcilin GB. Radiological investigations Oral Cholecystography. We comment on Site Size Shape Filling Defect Function Concentration of dye contractility. Investigations.
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GB stone in 10 %
Gas in biliary tree
Gall stone ileus
Gas in GB wall
Ultrasound this is most useful
CT (conventional or helical) competes with the U/S especially as regards the pancreatic tumors.
congenital intrahepatic dilated bile ducts
Relative contraindications include
Complications of this procedure include
Separation of GB
Identification of Calot’s
T tube insertion which should be
Sphincterotomy or sphincteroplasty done In the presence of
the ampulla is attacked through a duodenal incision and the ampulla should undergo either sphincterotomy or sphincteroplasty at 10 or 11-oclock positions to avoid pancreatic duct injury
Chole docho duodenostomy is done (in the following situations)
For operable cancers