How reliable is intraoperative cholangiography as a method for detecting common bile duct
Cholestasis due to compression of the common bile duct
by pancreatic pseudocysts.
The fibrous remnant of the distal common bile duct
is often present here.
ERCP is advisable when the obstruction involves the lower common bile duct
such as with gallstones or carcinoma of the head of the pancreas.
The common bile duct
was found to be transected and suture ligated at the level of its confluence.
James Brock concluded that the patient's common bile duct
had been cut by mistake during the laparoscopic cholecystectomy performed by Dr.
A prospective study of 250 patients undergoing endoscopic biliary sphincterotomy for common bile duct
stones demonstrated an overall complication rate of 8.
Distal tumors, located in the distal common bile duct
, occurred in 239 patients.
In some cases, the stones are pushed into the tube leading from the gallbladder - the common bile duct
It demonstrates both a high sensitivity and specificity for identifying common bile duct
If it lodges in the cystic duct--the channel that leads from the gallbladder to the common bile duct
, which empties into the small intestine--the stone can block the flow of bile.
Pruthi's patient underwent various other treatments, including removal of her gallbladder at another hospital, but still had stones lodged in the common bile duct
and cystic duct - the tube that connects the gall bladder to the bile duct.
In addition to jaundice, blockage of the common bile duct
may cause inflammation of the pancreas called pancreatitis, which can be extremely painful and very serious.
Analysis of patient subgroups indicated that the prevention of pancreatitis after ERCP was particularly significant in those patients undergoing a biliary sphincterotomy, a procedure in which the muscle around the common bile duct
is cut, most commonly performed to remove stones.
The blockage of her common bile duct
resulted in inflammation and infection developing in the bile ducts.