COURVOISIER'S LAW
In
cases of obstructive
jaundice where the
gallbladder is
palpable, the
cause is unlikely to be
gallstones (carcinoma
gallbladder or
carcinoma of pancreas Fig.
17.6). A plan
of
action in a case of jaundice is given
into in Fig. 17.7.
Short Note
Splenoportogram
This is method of visualizing the
splenic vein and portal system
by injection of radio opaque dye into
the spleen by direct needle
puncture.
Short Note
ERCP
Endoscopic retrograde-
cholangio-pancreatography a method
of
outlining the bile and pancreatic
ducts used when ultrasound, CT
and
MRI scans have failed to provide information required.
An
endoscope is introduced in the duodenum and the opening
of bile
passages catheterised.
Radio opaque dye
injected and x-ray
obtained outlining the ducts.
SN
Post Choleystectomy Syndrome
This
is the persistence of symptoms in
patient of cholecystis
after cholecystomy sometime this
symptoms appear many years after
cholecystectomy. These
symptoms may be due to a
hiatus hernia
pancreatites or
a narrow sphincter
of oddi. These
three
conditions need to be investigated.
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