Abstract

*Dr. Sartaj Hassasn Shah and Dr. Arif Ahmad Wani

ABSTRACT

Objective: To ascertain the role of Ultrasonography in the evaluation of bile duct injuries. Materials and Methods: This prospective study was conducted in department of radiodiagnosis and imaging government medical college anantnag over a period of 2 year. Fifty patients with suspected bile duct injury as a consequence of cholecystectomy (open and laparoscopic) were examined on Ultrasonography to depict bile duct strictures, transection injury, evidence of leaks, dilated IHBR, free fluid and bilioma formation. Final diagnosis was made on the basis of findings at Magnetic Resonance Cholangiopancreatography (MRCP), surgery and on Endoscopic Retrograde Cholangiopancreatography (ERCP). Results: The ultrasound findings were as follows: localised Collection/ bilioma formation only (n=20), localised collection with free fluid (n=5) dilated IHBR (n=12), localised collection with dilated IHBR (n=2), stricture (n=8), collection, dilated IHBR and free fluid (n=3) Conclusion: Ultrasonography is a non-invasive, economical and a reasonably sensitive tool for initial evaluation and diagnosis of bile duct injuries and helps in selection of patients to be evaluated further by MRI and ERCP Abbreviations: BDI-Bile Duct Injury, CBD-Common Bile Duct, CHD-Common Hepatic Duct, ERCP-Endoscopic Retrograde Cholangiopancreatography, IHBR-Intrahepatic Biliary Radicles, MRCP-Magnetic Resonance Cholangiopancreatography, PTC- Percutaneous Transhepatic Cholangiography, USG-Ultrasonography.