A Retrospectve Study of Sonographic Records in the Detecton of Hepatc Hilar Mass in Patents with Cholestatc Jaundice
Year: 2009
Type: article
Study design: Observational Study
Abstract: Ultrasonography is the primary modality to conform the presence of biliary obstruction.Obstruction in biliary tree may be extrahepatic or intrahepatic and bile duct obstruction may be due to variety of malignant and benign masses.The commonest cause of obstructing mass is cholangiocarcinoma.Malignant masses causing biliary obstruction has a wide spectrum of radiological appearances.Objective of study was to identify the magnitude of mass lesion causing biliary obstruction at hepatic hilar region and effectiveness of ultrasonography in the diagnosis of the hilar obstruction.This study was undertaken in Bir Hospital.Retrospective analysis of one year record was done of those cases admitted for endoscopic retrograde cholangiopancreatography followed by abdominal ultrasonography.Out of total 73 patients of obstructive biliary pathology, 21 (28.70%) of the patients diagnosed biliary obstruction due to mass lesion and among those 21 patients with mass lesion, the level of obstruction in hepatic hilum was reported in 52.40% (N=11).Abdominal USG is capable in diagnosing tumoral bile duct obstruction.For definite diagnosis the direct fine needle aspiration biopsy or bile sampling for cytology has to be done either by PTC or ERCP.
Authors: Kunwar L Panthee Mr, Hensan Khadka
Language: English
Subfield: Gastroenterology
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2309727682