CAROLIS DISEASE or OBSTRUCTIVE JAUNDICE in cirrhotic liver скачать в хорошем качестве

CAROLIS DISEASE or OBSTRUCTIVE JAUNDICE in cirrhotic liver

VERY DIFFICULT CASE WITHOUT DOPPLER esp: regarding the DOT SIGN ==================================================---======== NO Hilar region adenopathy and / or any pathology identified. NO dilation of CHD / CBD. NO Pancreatic pathology there Hx repeated Attacks of of fever with rigors and was treated without investigations with drugs only x 2 yrs BILIRUBIN = 9 mg/dl Alkaline Phosphatase = 1990 iu/L TLC = 18,000 x cells per millimeter cubed or mm3 =================================================== CAN RECURRENT CHOLANGIITIS be considered in differential ?4 =================================================== atient with Caroli disease are usually brought to our attention, when they develop complications. These complications are commonly the result of biliary stasis, which leads to stone formation and infection. Complications: Intraductal stones Cholangitis and Abscess Livercirrhosis Cholangiocarcinoma DIFFERENTIAL DIAGNOSIS ======================= is broad and includes PSC, recurrent pyogenic cholangitis, polycystic liver disease, a choledochal cysts, biliary papillomotosis and occasionally obstructive biliary dilatation. by DR TAHIR A SIDDIQUI ( consultant sonologist ) Gujranwala. Pakistan