J Korean Radiol Soc.  1989 Jun;25(3):451-457. 10.3348/jkrs.1989.25.3.451.

Intraoperative cholangiographic findings of intrahepatic duct stones

• Kim MY
• Suh CH
• Choi HR
• Ahn BY
• Chung WK
• Lee Y

• KMID: 2359109
• DOI: http://doi.org/10.3348/jkrs.1989.25.3.451

Abstract

Operative cholangiography is considered essential during biliary operation in order to minimise the chance of negative exploration and to demonstrate the anatomy and pathology of intra and extrahepatic biliary tree. Although many authors have evaluated and accepted various techniques for opearative cholangiography, the image of operative cholangiography is affected mainly by intrahepatic duct stone and anatomic characteristics of billary tree. Incases of intraheptic duct stones accurate evaluation of the operative cholangiographic finding is important for aplan of further treatment including interventional procedures. We reviewed 45 operative cholangiograms of 30 patients with intrahepatic duct stones from january, 1986 to September, 1988, and analysed operative cholangiographic findings with a special attention to the correlation between cholangiographic findings and thelocation of intrahepatic duct stones. The results were as follows. 1. Common bile duct stones were found in 72%,and generalized cholangitis was combined in 43% of patient with intrahepatic duct stones. 2. Incomplete ductalfilling of contrast media was the most frequent finding of left intraheptic duct stones in operative cholangiograms with four different cholangiogram catheters. 3. Nonfilling and partial filling were the most frequent findings; nonfilling was prevalent in right anterior and left medial ducts, and partial filling was prevalent in left medial and left lateral ducts.

MeSH Terms

Biliary Tract
Catheters
Cholangiography
Cholangitis
Common Bile Duct
Contrast Media
Humans
Pathology
Trees
Contrast Media