Case List History Objectives Radiology Images Questions BILIARY TRACT Case #5 - A 50 year old woman with abdominal discomfort after cholecystectomy DISCUSSION QUESTIONS: 2.) How would you proceed to find out her diagnosis? What tests could be done? Diagnostic evaluation: Ultrasound: look for fluid collection or dilated ducts CT scan: look for fluid collection or dilated ducts HIDA scan: failure of contrast to pass into duodenum and contrast filling fluid collection ERCP: define level of injury PTC: possible if intrahepatic biliary radicles dilated; defines high injuries to guide repair
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