medical image of the week: ascending cholangitis from biliary obstruction
Clicks: 136
ID: 128277
2013
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Abstract
A 79 year old man with a history of quadriplegia presented to an outside hospital in septic shock. He was found to have an elevated total bilirubin of 10 mg/dL, direct bilirubin of 7 mg/dL, alkaline phosphatase of 405 U/L, and lipase of 370 U/L. Imaging showed cholelithiasis with likely intra- and extrahepatic biliary duct dilatation. The patient underwent placement of a biliary drain with clinical improvement. Additional imaging was requested prior to endoscopic retrograde cholangiopancreatography (ERCP), but magnetic resonance cholangiopancreatography (MRCP) was unavailable due to metallic implants. Interventional radiology performed a cholangiogram using the biliary drain which confirmed biliary obstruction. ERCP was then performed, with significant biliary sludge found and two stents placed.
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c2013southwestmedical
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|---|---|
| Authors | ;Wong C;William P;Carr G |
| Journal | journal of photochemistry and photobiology b: biology |
| Year | 2013 |
| DOI |
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| Keywords | Keywords not found |
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