20/4/2021 Choleli hia i and choledocholi hia i - ClinicalKe

CLINICAL O E IE

Ch e i hia i a d ch ed ch i hia i
El e ie Poin of Ca e ( a )
U da ed 18 J ni 2020. Co igh El e ie BV. All igh e e ed.

S i
Ke P U e Ac
Choleli hia i i he e ence of gall one in he gallbladde ;
Immedia e ho i al admi ion
choledocholi hia i i he e ence of gall one in he common
and o ible gical
bile d c in e en ion a e e i ed fo

Choleli hia i i d e o an imbalance among bile com onen , a ien ho de elo

com lica ion of choleli hia i ,
he ea bac e ial a i and bilia infec ion a e he main
ca a i e fac o of choledocholi hia i ch a ac e cholec i i , ac e
anc ea i i , gall one ile , o
Ini ial a e men incl de a ien hi o , h ical e amina ion, a cending cholangi i
and labo a o e incl ding li e f nc ion e ( i h bili bin
le el ) and CBC; le o egnanc in omen of e od c i e
ea

Va io imaging modali ie a e ed o confi m diagno e of choleli hia i and choledocholi hia i

Abdominal l a onog a h i he gold anda d fo diagno i of choleli hia i

CT o ide fa and acc a e info ma ion i h a lo i k of com lica ion ; of en ed in eme genc
de a men e ing, e eciall hen ini ial l a onog a h i nega i e o ain i no ell locali ed

Endo co ic l a onog a h and magne ic e onance cholangio anc ea og a h a e he mo

commonl ed diagno ic ool fo choledocholi hia i

Addi ionall , endo co ic e og ade cholangio anc ea og a h i al a ecommended fo ho e

a ien in hom common bile d c one ha e been de ec ed adiog a hicall and fo a ien in
hom li e f nc ion e e l ai e icion of ob c i e ja ndice

T ea men of m oma ic choleli hia i incl de gical (ie, la a o co ic and o en cholec ec om )

and non gical o ion (ie, ain con ol, e aco o eal hock a e li ho i , o al di ol ion);
a m oma ic choleli hia i doe no e i e ea men in mo ca e
Did o find o r ans er?
Choledocholi hia i ea men incl de endo co ic e og ade cholangio anc ea og a h i h
N Y
hinc e o om and one emo al, and la a o co ic o o en cholec ec om
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