WOMAN 51 YO FOR 5 YEARS CHOLECYSTECTOMY BY GALL BLADDER STONE, NOW GETTING PAIN IN LIVER.
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US SCANNING : GALL-BLADDER HAD BEEN REMOVED. CBD DILATED OF 3CM IN DIAMETER WITH DILATATION R/L BILIARY DUCTS IN LIVER AND THERE ARE SOME SMALL SPOTS LIKE CYST 0.5 CM. CBD IS STENOSIS AT ODDI AREA AND NO TUMOR OF PANCREAS.
US1 BW US US2 CDI
MRI OF LIVER
MRI1 CROSSED SECTION OF LIVER
MRI2 CBD DILATED WITH MANY SPOTS LIKE CYST IN LIVER THAT ARE HAMARTOMA OF BILIARY CANALS.
ERCP lCANNOT ENTER THE CBD (FOTO1, FOTO2)
OPERATION REPORT IS CYST OF CBD AND STENOSIS OF CBD AT ODDI SPHINTER.
AND MANY SMALL NODULES AT SURFACE OF LIVER BIOPSY (lFOTO CBD).
PROCEDURE IS ROUX EN Y FOR ANASTOMOSIS OF CBD AND DUODENUM.
CONCLUSION =IT IS HAMARTOMA OF BILIARY SYSTEIM WITH STONE STENOSIS OF CBD AND MANY SMALL LIKE -CYSTS OF BILIARY SYSTEM.