Imaging algorithm in the diagnosis of extrahepatic cholestasis

Authors

  • Damaris Pérez Betancourt Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, Cuba
  • Juan Héctor Castro Duménigo Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, Cuba
  • Rafael Machado Rodríguez Universidad de Ciencias Médicas, Filial “Lidia Doce”, Sagua la Grande, Villa Clara, Cuba
  • Alietty Taymí Domínguez Ruiz Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, Cuba
  • Pedro Vázquez González Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, Cuba

Keywords:

bile duct obstruction, extrahepatic, ultrasonography, cholangiography, algorithms

Abstract

A prospective, longitudinal and descriptive study was carried out at the Arnaldo Milian Castro hospital in Santa Clara during the period from May 2005 to May 2007. The sample was formed by 311 patients who had clinical symptoms of an extrahepatic cholestasis. They underwent an abdominal ultrasonography and an endoscopic retrograde cholangiography. There was a prevalence of extrahepatic cholestasis –both in the ultrasound and the cholangiography– as well as of odditis, choledocal lithiasis, chronic pancreatitis and paravaterian diverticulum. The most common point of obstruction was below the hepatocystic confluence. There was a correlation of 64.9 percent between the findings of both studies. An imaging algorithm was proposed to be used with all patients who are treated at the Emergency Room presenting clinical symptoms of cholestasis.

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Author Biographies

Damaris Pérez Betancourt, Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, Cuba

Especialista de I Grado en Medicina General Integral y en Imagenología. Profesora Instructora de la Universidad de Ciencias Médicas de Villa Clara “Dr. Serafín Ruiz de Zárate Ruiz”.

Juan Héctor Castro Duménigo, Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, Cuba

Especialista de I Grado en Medicina General Integral. Especialista de I y II Grado en Imagenología. Profesor Asistente de la Universidad de Ciencias Médicas de Villa Clara “Dr. Serafín Ruiz de Zárate Ruiz”.

Rafael Machado Rodríguez, Universidad de Ciencias Médicas, Filial “Lidia Doce”, Sagua la Grande, Villa Clara, Cuba

Licenciado en Información Científico Técnica. Profesor Asistente de la Universidad de Ciencias Médicas de Villa Clara, Filial “Lidia Doce”, Sagua la Grande.

Alietty Taymí Domínguez Ruiz, Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, Cuba

Especialista de I Grado en Imagenología. Profesora Instructora de la Universidad de Ciencias Médicas de Villa Clara “Dr. Serafín Ruiz de Zárate Ruiz”.

Pedro Vázquez González, Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, Cuba

Especialista de I Grado en Gastroenterología. Profesor Asistente de la Universidad de Ciencias Médicas de Villa Clara “Dr. Serafín Ruiz de Zárate Ruiz”.

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How to Cite

1.
Pérez Betancourt D, Castro Duménigo JH, Machado Rodríguez R, Domínguez Ruiz AT, Vázquez González P. Imaging algorithm in the diagnosis of extrahepatic cholestasis. Acta Méd Centro [Internet]. 2010 Jan. 1 [cited 2025 Jul. 10];4(1):3-13. Available from: https://revactamedicacentro.sld.cu/index.php/amc/article/view/482

Issue

Vol. 4 No. 1 (2010): January-March

Section

Original Articles

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