pISSN 2636-0004eISSN 2636-0012
pISSN 2636-0004Investigations
| Case | Biochemistry | Imaging | |||||||
|---|---|---|---|---|---|---|---|---|---|
| Total count (/L) | Serum bilirubin (total/direct/indirect) (mg/dL) | Amylase (U/L) | Serum lipase (U/L) | USG abdomen | CECT abdomen | MRCP | EUS | ||
| I | 13 × 109 | 4.3/3.1/1.2 | 17 | 12 | Dilated IHBR, 12.7 mm CBD with elongated echogenic material within? Calculus, Stent | - | Dilated CBD, short biliary stent in distal CBD with abrupt irregular filling defect around stent | Two parallel hyper echoic structure with shadowing in distal CBD with CBD sludge | |
| 2 | 5 × 109 | 3.0/2.0/1.0 | - | - | CBD stones | - | - | - | |
| 3 | 3.3 × 109 | 1.0/0.8/0.2 | - | - | Prominent CBD with sludge | - | - | - | |
| 4 | 12.5 × 109 | 3.0/2.0/1.0 | - | - | Dilated CBD with linear stones within | - | - | - | |
| 5 | 4 × 109 | 1.2/1.0/0.2 | - | - | - | - | - | - | |
| 6 | 12.9 × 109 | 5.71/3.76/1.97 | 18 | 10 | - | 6 mm CBD, radio opaque filling defect in lower CBD (metallic density with streak artefact) | - | - | |
| 7 | 14.6 × 109 | 4.47/3.72/0.7 | - | - | 12 mm CBD, 7 mm hyper echoic structure in terminal CBD possibly stone or D2 perivaterian diverticulum | - | -- | Dilated cystic duct and CBD with stone around a hyper echoic structure possibly stone-migrated clip complex | |
| 8 | 16.7 × 109 | 2.04/0.91/1.13 | 1,050 | 153 | - | 5 mm CBD pneumobilia | - | 5 mm CBD, CBD stone with linear hyper echoic structure possibly migrated clip |
|
USG, Ultrasonography; CECT, contrast-enhanced computed tomography; MRCP, magnetic resonance cholangiopancreatography; EUS, endoscopic ultrasound; IHBR, intrahepatic biliary radicles; CBD, common bile duct.