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Biliary Disease

Background

A diverse spectrum of diseases affects the biliary system, often presenting with similar clinical signs and symptoms. These conditions include gallstones, acute calculus cholecystitis, acute acalculus cholecystitis, Mirizzi syndrome, chronic cholecystitis, cholangitis (recurrent pyogenic, primary sclerosing, primary biliary, autoimmune), biliary tract malignancies, biliary tract cysts, and others.

See the images below.

A normal postcholecystectomy cholangiogram.

A normal postcholecystectomy cholangiogram.

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Biliary disease. In a patient with persistent elev

Biliary disease. In a patient with persistent elevation of liver-associated enzymes, the contrast medium entering the biliary ductal system preferentially enters the cystic duct.

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Biliary disease. Even when the catheter is advance

Biliary disease. Even when the catheter is advanced to the proximal common hepatic duct, contrast dye preferentially fills the cystic duct and gallbladder rather than allowing visualization of the intrahepatic ductal system (same patient as in previous image).

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Biliary disease. In this image, the common bile du

Biliary disease. In this image, the common bile duct is occluded with a balloon-tipped catheter. Contrast material fills the intrahepatic ductal system to reveal diffuse intrahepatic sclerosing cholangitis.

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For patient education resources, see Digestive Disorders Center and Cholesterol Center, as well as Gallstones, Primary Biliary Cirrhosis (PBC), Cirrhosis (Liver, Symptoms, Stages, and Diet), and Primary Sclerosing Cholangitis.

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