Download PDF
CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2020; 11(03): 225-227
DOI: 10.1055/s-0040-1716790
Endoscopic Video

Contrast-Enhanced Endoscopic Ultrasound for Evaluation of Common Bile Duct in Presence of Portal Cavernoma

Surinder Singh Rana
1   Department of Gastroenterology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
,
Ravi Kumar Sharma
1   Department of Gastroenterology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
,
Rajesh Gupta
2   Department of Surgical Gastroenterology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
› Author Affiliations
› Further Information
   Permissions and Reprints

Abstract

Endoscopic ultrasound (EUS) is an excellent imaging modality for the evaluation of common bile duct (CBD) because of its close proximity to the transducer placed in duodenum. However, in the presence of portal cavernoma, identification and proper evaluation of CBD become difficult because of presence of numerous venous collaterals. In these circumstances, the evaluation of CBD is more difficult if it is nondilated. In these difficult situations, contrast-enhanced EUS can provide better and clear images of CBD and therefore seems to be an excellent modality to evaluate nondilated CBD in the presence of portal cavernoma.

Keywords

endosonography - common bile duct - gall bladder stones


Publication History

Article published online:
05 November 2020

© .

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 

  • References

  • 1 Palazzo L, Hochain P, Helmer C. et al. Biliary varices on endoscopic ultrasonography: clinical presentation and outcome. Endoscopy 2000; 32 (07) 520-524
    Article in Thieme ConnectPubMedGoogle Scholar
  • 2 Rana SS, Bhasin DK, Behera A. Rare cause of jaundice in chronic pancreatitis: portal hypertensive biliopathy. Clin Gastroenterol Hepatol 2011; 9 (07) e64-e65
    CrossrefPubMedGoogle Scholar
  • 3 Rana SS, Bhasin DK, Rao C, Singh K. Portal hypertensive biliopathy developing after acute severe pancreatitis. Endosc Ultrasound 2013; 2 (04) 228-229
    CrossrefPubMedGoogle Scholar