jueves, 28 de agosto de 2014
Diverticulo Duodenal & Pancreatitis & Coledocolitiasis & Colelitiasis
Diverticulo Duodenal & Pancreatitis & Coledocolitiasis &Colelitiasis
Female patient, 70 years of age with a known history of cholelithiasis. Emergency comes with severe abdominal pain predominantly in epigastric region and radiating to the back. Sonographic examination showed the presence of extensive Gallbladder, thinwalled hyperechogenic presence of some images (microcalculos) therein. None of them is located in the infundibulum or cystic duct. The choledocus looks dilated and the sign of the double barrel shotgun (shot gun) in the biliary branches and portals left lobe is seen, that by a pancreatic duct dilated and visible in its entirety spoke out of the presence of a picture biliary obstruction and possible Pancreatitis. The pancreatic duct was measured at 5.9 mm and 4.0 mm in two different areas-see photos-the presence of small hyper-echogenic image (possible calculation) in distal common bile duct was also visualized, behind the pancreatic head and near Vater.Se blister directed endoscopic retrograde cholangiopancreatography (ERCP) with which a peri-ampullary duodenal diverticulum was discovered, the vesicular mud and bile duct microcalculos which looked dilated. The procedure was well tolerated and the patient is scheduled for a cholecystectomy soon.
Etiquetas: cholelithiasis, colangiopancreatografia retrograda endoscopica ( ERCP ), colelitiasis, diverticulo duodenal, duodenal diverticulum, Endoscopic retrograde cholangiopancreatography (ERCP), pancreatitis