Radiologic Diagnostic Criteria of Sphincter of Oddi Dysfunction: Analysis of Five Cases Confirmed by Biliary Manometry
Journal of the Korean Radiological Society
;
: 505-510, 1994.
Article
Dans Coréen
| WPRIM
| ID: wpr-34721
ABSTRACT
PURPOSE:
Biliary dyskinesia was considered as a wastebasket of quasi-biliary disease which could not be clearly explained under the basis of morphologic pathology. This entity was a source of confusion because of misconception and poor understanding. Recent introduction of biliary manometric technique enlightened some of these disorders. We evaluated the cholangiographic morphology of these disorders to clarify and to characterize the some characteristic findings, subsequently in order to help the diagnosis. MATERIALS ANDMETHODS:
Five cases were confirmed by this technique as sphincter of Oddi dysfunction for last 13 months. All patients were female and age range was 53 to 75 years old. All patients were suffered from intermittent and recurrent biliary type pain.RESULTS:
ERCP showed five common findings. The common bile duct was dilated over 12ram in all patients. Different from recurrent pyogenic cholangiohepatitis, intrahepatic ducts were proportionally dilated as extrahepatic ducts, in four patients and they branched normally and ductal wall was smooth. Transient or persistent meniscus sign was observed in four patients. All patients showed delayed emptying of contrast media from the common bile duct into the duodenum. Following IV injection of cholecystokinin, persistent meniscus disappeared and contrast media inflowed into the duodenum.CONCLUSION:
Identification of all or some characteristic cholangiographic findings may eliminate a cumbersome and painful biliary manometric test for the diagnosis of sphincter of Oddi dysfunction.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Anatomopathologie
/
Dyskinésie biliaire
/
Cholécystokinine
/
Cholangiopancréatographie rétrograde endoscopique
/
Conduit cholédoque
/
Produits de contraste
/
Dysfonctionnement du sphincter d'Oddi
/
Diagnostic
/
Duodénum
/
Manométrie
Type d'étude:
Etude diagnostique
/
Étude pronostique
Limites du sujet:
Adulte très âgé
/
Femelle
/
Humains
langue:
Coréen
Texte intégral:
Journal of the Korean Radiological Society
Année:
1994
Type:
Article
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