Hepatobiliary Imaging. Beth Neilsen. Patient History.
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Ms. H is a 69-yo female who presents with a one week history of pain in the right upper quadrant that radiates to her right shoulder. She does not have a fever at the time of presentation, but reports she has felt “chills” at home for the past three days.
An endoscope is passed through the esophagus, stomach, and duodenum until it reaches the spot where the ducts of the biliary tree and pancreas open into the duodenum.
A small plastic tube through the scope, through which contrast is injected into the ducts to make them show up clearly on x rays.
If the exam shows a gallstone or narrowing of the ducts, the physician can insert instruments into the scope to remove or relieve the obstruction. Also, tissue samples (biopsy) can be taken for further testing.