Biliary System

Presented by Dr Laith fadhel

Methods of investigations • US (Trans abdominal / Endoscopic US )• CT / CT - IVC {sodium ipodate , iotroxate } 30min

supine &prone• MRI , MRCP , functional MR cholangiography 30-60

min( hepato excreted contrast Gd-EOB –DTPA , Primovist or Gd-BOPTA

• ERCP • PTC ( Percutaneous transhepatic cholangiography )

22G chiba needle • Intra operative ( IOC ) • T-tube day 7 post op • Hepato Scintigraphy HIDA ( TC 99 m 2-4 hs )

Gall Bladder atersia & hypoplasia