Mirizzi syndrome with dilatation of the common hepatic duct and intrahepatic bile ducts caused by external compression of a stone in the cystic duct

<P><STRONG>Presentation</STRONG><SPAN class=normalTxt id=ctl00_cphMain_lblPresentation>68 year old female with painless jaundice </SPAN> </P> <DIV class="SpacerDiv floatLeft">  </DIV> <DIV id=DetailsMainTabPanelsDiv> <DIV id=ctl00_cphMain_pnlListView> <TABLE id=ctl00_cphMain_dtstCaseImage style="WIDTH: 100%; BORDER-COLLAPSE: collapse; BACKGROUND-COLOR: white" cellSpacing=0 border=0> <TBODY> <TR> <TD> <DIV style="PADDING-RIGHT: 100px; PADDING-LEFT: 100px; PADDING-BOTTOM: 0px; PADDING-TOP: 0px"> <DIV class=LargeMediaDiv><SPAN id=ctl00_cphMain_dtstCaseImage_ctl00_lblImageHtml> <DIV class=PointerCursor style="BACKGROUND-POSITION: center center; FLOAT: left; BACKGROUND-IMAGE: url(http://www.Sonoworld.com/Images/16768_caset.jpg); WIDTH: 100%; BACKGROUND-REPEAT: no-repeat; HEIGHT: 400px"> </DIV></SPAN></DIV></DIV> <DIV class=SpacerDiv>  </DIV> <DIV class=SubDetailDiv style="PADDING-RIGHT: 0px; PADDING-LEFT: 10px; FONT-SIZE: 9.5pt; PADDING-BOTTOM: 5px; PADDING-TOP: 0px"><B>Caption:</B> <SPAN class=normalTxt id=ctl00_cphMain_dtstCaseImage_ctl00_lblCaption>Long axis view of the gallbladder and common hepatic duct</SPAN> </DIV> <DIV class=SubDetailDiv style="PADDING-RIGHT: 0px; PADDING-LEFT: 10px; FONT-SIZE: 9.5pt; PADDING-BOTTOM: 5px; PADDING-TOP: 0px"><B>Description:</B> <SPAN class=normalTxt id=ctl00_cphMain_dtstCaseImage_ctl00_lblDescription>There is a small gallbladder with stones.There is a stone in the cystic duct. The common bile duct is slightly dilatated</SPAN> </DIV></TD></TR> <TR> <TD> <DIV class=SpacerDiv>  </DIV></TD></TR> <TR> <TD style="BACKGROUND-COLOR: #f1f5fa"> <DIV style="PADDING-RIGHT: 100px; PADDING-LEFT: 100px; PADDING-BOTTOM: 0px; PADDING-TOP: 0px"> <DIV class=LargeMediaDiv><SPAN id=ctl00_cphMain_dtstCaseImage_ctl02_lblImageHtml> <DIV class=PointerCursor style="BACKGROUND-POSITION: center center; FLOAT: left; BACKGROUND-IMAGE: url(http://www.Sonoworld.com/Images/16774_caset.jpg); WIDTH: 100%; BACKGROUND-REPEAT: no-repeat; HEIGHT: 400px"> </DIV></SPAN></DIV></DIV> <DIV class=SpacerDiv>  </DIV> <DIV class=SubDetailDiv style="PADDING-RIGHT: 0px; PADDING-LEFT: 10px; FONT-SIZE: 9.5pt; PADDING-BOTTOM: 5px; PADDING-TOP: 0px"><B>Caption:</B> <SPAN class=normalTxt id=ctl00_cphMain_dtstCaseImage_ctl02_lblCaption> Long axis view of the gallbladder and common hepatic duct</SPAN> </DIV> <DIV class=SubDetailDiv style="PADDING-RIGHT: 0px; PADDING-LEFT: 10px; FONT-SIZE: 9.5pt; PADDING-BOTTOM: 5px; PADDING-TOP: 0px"><B>Description:</B> <SPAN class=normalTxt id=ctl00_cphMain_dtstCaseImage_ctl02_lblDescription>The stones in the gallbladder cause acoustic shadowing. The stone in the cystic duct protrudes in the common hepatic duct, reducing the lumen more than 50%</SPAN> </DIV></TD></TR> <TR> <TD> <DIV class=SpacerDiv>  </DIV></TD></TR> <TR> <TD> <DIV style="PADDING-RIGHT: 100px; PADDING-LEFT: 100px; PADDING-BOTTOM: 0px; PADDING-TOP: 0px"> <DIV class=LargeMediaDiv><SPAN id=ctl00_cphMain_dtstCaseImage_ctl04_lblImageHtml> <DIV class=PointerCursor style="BACKGROUND-POSITION: center center; FLOAT: left; BACKGROUND-IMAGE: url(http://www.Sonoworld.com/Images/16775_caset.jpg); WIDTH: 100%; BACKGROUND-REPEAT: no-repeat; HEIGHT: 400px"> </DIV></SPAN></DIV></DIV> <DIV class=SpacerDiv>  </DIV> <DIV class=SubDetailDiv style="PADDING-RIGHT: 0px; PADDING-LEFT: 10px; FONT-SIZE: 9.5pt; PADDING-BOTTOM: 5px; PADDING-TOP: 0px"><B>Caption:</B> <SPAN class=normalTxt id=ctl00_cphMain_dtstCaseImage_ctl04_lblCaption> Image of the liver hilum</SPAN> </DIV> <DIV class=SubDetailDiv style="PADDING-RIGHT: 0px; PADDING-LEFT: 10px; FONT-SIZE: 9.5pt; PADDING-BOTTOM: 5px; PADDING-TOP: 0px"><B>Description:</B> <SPAN class=normalTxt id=ctl00_cphMain_dtstCaseImage_ctl04_lblDescription>The arrow points to the large stone protruding in the bile duct</SPAN> </DIV></TD></TR> <TR> <TD> <DIV class=SpacerDiv>  </DIV></TD></TR> <TR> <TD style="BACKGROUND-COLOR: #f1f5fa"> <DIV style="PADDING-RIGHT: 100px; PADDING-LEFT: 100px; PADDING-BOTTOM: 0px; PADDING-TOP: 0px"> <DIV class=LargeMediaDiv><SPAN id=ctl00_cphMain_dtstCaseImage_ctl06_lblImageHtml> <DIV class=PointerCursor style="BACKGROUND-POSITION: center center; FLOAT: left; BACKGROUND-IMAGE: url(http://www.Sonoworld.com/Images/16770_caset.jpg); WIDTH: 100%; BACKGROUND-REPEAT: no-repeat; HEIGHT: 400px"> </DIV></SPAN></DIV></DIV> <DIV class=SpacerDiv>  </DIV> <DIV class=SubDetailDiv style="PADDING-RIGHT: 0px; PADDING-LEFT: 10px; FONT-SIZE: 9.5pt; PADDING-BOTTOM: 5px; PADDING-TOP: 0px"><B>Caption:</B> <SPAN class=normalTxt id=ctl00_cphMain_dtstCaseImage_ctl06_lblCaption> Image of the liver hilum at a 90 degree angle to image 3</SPAN> </DIV> <DIV class=SubDetailDiv style="PADDING-RIGHT: 0px; PADDING-LEFT: 10px; FONT-SIZE: 9.5pt; PADDING-BOTTOM: 5px; PADDING-TOP: 0px"><B>Description:</B> <SPAN class=normalTxt id=ctl00_cphMain_dtstCaseImage_ctl06_lblDescription>The arrow points to the stone in the cystic duct that measures 1,2 cm.The intrahepatic bile ducts are slightly dilatated</SPAN> </DIV></TD></TR> <TR> <TD> <DIV class=SpacerDiv>  </DIV></TD></TR> <TR> <TD> <DIV style="PADDING-RIGHT: 100px; PADDING-LEFT: 100px; PADDING-BOTTOM: 0px; PADDING-TOP: 0px"> <DIV class=LargeMediaDiv><SPAN id=ctl00_cphMain_dtstCaseImage_ctl08_lblImageHtml> <DIV class=PointerCursor style="BACKGROUND-POSITION: center center; FLOAT: left; BACKGROUND-IMAGE: url(http://www.Sonoworld.com/Images/16772_caset.jpg); WIDTH: 100%; BACKGROUND-REPEAT: no-repeat; HEIGHT: 400px"> </DIV></SPAN></DIV></DIV> <DIV class=SpacerDiv>  </DIV> <DIV class=SubDetailDiv style="PADDING-RIGHT: 0px; PADDING-LEFT: 10px; FONT-SIZE: 9.5pt; PADDING-BOTTOM: 5px; PADDING-TOP: 0px"><B>Caption:</B> <SPAN class=normalTxt id=ctl00_cphMain_dtstCaseImage_ctl08_lblCaption>Image of the liver</SPAN> </DIV> <DIV class=SubDetailDiv style="PADDING-RIGHT: 0px; PADDING-LEFT: 10px; FONT-SIZE: 9.5pt; PADDING-BOTTOM: 5px; PADDING-TOP: 0px"><B>Description:</B> <SPAN class=normalTxt id=ctl00_cphMain_dtstCaseImage_ctl08_lblDescription>The intrahepatic bile ducts are dilatated</SPAN> </DIV></TD></TR> <TR> <TD> <DIV class=SpacerDiv>  </DIV></TD></TR> <TR> <TD style="BACKGROUND-COLOR: #f1f5fa"> <DIV style="PADDING-RIGHT: 100px; PADDING-LEFT: 100px; PADDING-BOTTOM: 0px; PADDING-TOP: 0px"> <DIV class=LargeMediaDiv><SPAN id=ctl00_cphMain_dtstCaseImage_ctl10_lblImageHtml> <DIV class=PointerCursor style="BACKGROUND-POSITION: center center; FLOAT: left; BACKGROUND-IMAGE: url(http://www.Sonoworld.com/Images/16773_caset.jpg); WIDTH: 100%; BACKGROUND-REPEAT: no-repeat; HEIGHT: 400px"> </DIV></SPAN></DIV></DIV> <DIV class=SpacerDiv>  </DIV> <DIV class=SubDetailDiv style="PADDING-RIGHT: 0px; PADDING-LEFT: 10px; FONT-SIZE: 9.5pt; PADDING-BOTTOM: 5px; PADDING-TOP: 0px"><B>Caption:</B> <SPAN class=normalTxt id=ctl00_cphMain_dtstCaseImage_ctl10_lblCaption>ERCP</SPAN> </DIV> <DIV class=SubDetailDiv style="PADDING-RIGHT: 0px; PADDING-LEFT: 10px; FONT-SIZE: 9.5pt; PADDING-BOTTOM: 5px; PADDING-TOP: 0px"><B>Description:</B> <SPAN class=normalTxt id=ctl00_cphMain_dtstCaseImage_ctl10_lblDescription>The arrow points to the severe stenosis of the common bile duct caused by external compression of the stone in the cystic duct. The ERCP image corresponds well with the ultrasound image 2</SPAN> </DIV></TD></TR></TBODY></TABLE></DIV></DIV>

카페정보

sonoedu

골드 (공개)
카페지기 sonoedu
회원수 3,449
방문수142
카페앱수23

카페 전체 메뉴

▲

카페 게시글

검색이 허용된 게시물입니다.

General Image Gallery Mirizzi syndrome with dilatation of the common hepatic duct and intrahepatic bile ducts caused by external compression of a stone in the cystic duct