Radiological evaluation of obstructive jaundice

ABSTRACT

A study involving 125 patients of obstructive jaundice was conducted in Combined Military Hospital and Military Hospital Rawalpindi. The study group predominantly consisted of female patients between 40 and 60 years. Ultrasonography and endoscopic retrograde cholangiopancreatography [ERCP] were the commonest radiological investigations used. Ultrasonography [USG] was performed in 100% patients. It successfully differentiated obstructive from non-obstructive jaundice. ERCP was perfomed in 100 patients [80%]- It was helpful in permitting direct, non-surgical imaging of pancreatic and bilary ducts. It proved to be useful diagnostic tool as it provided gastroduodenoscopy, cholangiography and pancreatography with a single examination. Percutaneous transhepatic cholangiography [PTC] was helpful in assessing the presence, site and cause of obstruction