Ihd Dilatation Ct
However in this condition there are usually multiple strictures and dilatation of the peripheral intrahepatic ducts and the.
Ihd dilatation ct. Precontrast ct shows ihd and cbd dilatation with several radiopaque stones in liver segment ii a and a 6 mm calcified stone in the distal cbd b. Us ct or mri ct are inferior to u s in diagnosing gs sensitivity of detect gs. Plain x ray 15 40 of gs radiopaque plain films are important to exclude other disease. Patients with biliary symptomatology or clinical concern for an obstructing process an explanation for biliary ductal dilatation on index ct intrahepatic without extrahepatic biliary ductal.
1 she did not have any history of alcohol drinking or smoking and any abnormality in the past medical and family histories. Post contrast abdominal ct scans showed dilatation of the intrahepatic bile ducts ihd and a long segmental circumferential wall thickening of entire extrapancreatic portion of cbd with involvement of both right anterior and posterior segmental ihd and suspicious involvement of left secondary biliary confluence as well as of the cystic duct fig. The intrahepatic duct ihd are usually associated with ihd stones 3 6 and these strictures are caused by repeated episodes of cholangitis 7 8ihd stric tures can be caused by parasitic disease such as clonorchiasis. The abdominal ultrasonography us and computed tomography ct performed at another hospital revealed focal dilatation of left ihd and multiple gallstones fig.
Focal dilatation may be a result of downstream stricture or damage to the elasticity of that segment of bile duct possibly from prior stone passage. Bile duct dilatation cbd 8mm ihd 4mm gs with bile duct dilatation investigation. Color doppler can be useful to ensure that dilated structures in the liver are actually bile ducts and not an intrahepatic vascular malformation.