Saudi Journal of Gastroenterology
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RADIOLOGY QUIZ Table of Contents   
Year : 2010  |  Volume : 16  |  Issue : 4  |  Page : 321-322
Obstructive jaundice in an elderly female

Deptartment of Radiodiagnosis and Imaging, Sher-I- Kashmir Institute of Medical Sciences, Srinagar, Jammu & Kashmir, India

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Date of Web Publication24-Sep-2010

How to cite this article:
Wani NA, Kosar TL, Rawa AA. Obstructive jaundice in an elderly female. Saudi J Gastroenterol 2010;16:321-2

How to cite this URL:
Wani NA, Kosar TL, Rawa AA. Obstructive jaundice in an elderly female. Saudi J Gastroenterol [serial online] 2010 [cited 2020 Jul 14];16:321-2. Available from:

A 55-year-old woman presented with 1 month history of right hypochondrium pain, vomiting, and jaundice. On examination, she had tender right hypochondrium and palpable gall bladder. Blood investigations revealed increased white cell count with eosinophilia; serum bilirubin (6 mg/dL) and alkaline phosphatase (900U/L) were raised; alanine aminotransferase (ALT) and aspartate aminotransferase (AST) were not significantly elevated. Ultrasonography showed a cyst in the right lobe of liver and dilated common bile duct (CBD) filled with echogenic debris. Gall bladder was distended and transonic. MRCP was performed for further evaluation. Cholangiographic thick slab MRCP revealed a cyst in the right lobe of liver closely related to right lobe ducts, with intracystic linear and irregular hypointensities; intrahepatic bile ducts were dilated and CBD filled with long, low signal intensity mass like structure. GB was distended and pancreatic duct slightly dilated [Figure 1].
Figure 1 :Thick slab coronal plane MRCP image showing dilated intrahepatic bile ducts and a cyst closely related to right lobe ducts with equivocal evidence of communication. Cyst shows internal low signal intensity membranes; common bile duct is filled with long, linear mass like hypointense signal intensity structure. Gall bladder is distended, and pancreatic duct is slightly dilated

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   Question Top

What is the diagnosis?

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   References Top

1.Marti-Boomati L, Menor Serrano F. Complications of hepatic hydatid cysts: Ultrasound, computed tomography, and magnetic resonance diagnosis. Gastrointest Radiol 1990;15;119-25.  Back to cited text no. 1      
2.Kapoor A, Vashisht S, Sharma R. Intrabiliary rupture of hepatic hydatid cyst-Imaging features. Trop Gastroenterol 1998;19:115-7.  Back to cited text no. 2  [PUBMED]    
3.Erden A, Φrmeci N, Fitoz S, Erden I, Tanju S, Genη Y. Intrabiliary rupture of hepatic hydatid cysts: Diagnostic accuracy of MR cholangiopancreatography. AJR Am Roentgenol 2007;189:W84-9.  Back to cited text no. 3      
4.Atli M, Kamma NA, Yuksek YN, Doganay M, Gozalan U, Kologlu M, et al. Intrabiliary rupture of hepatic hydatid cyst: Associated clinical factors and proper management. Arch Surg 2001;136:1249-55.  Back to cited text no. 4      

Correspondence Address:
Nisar A Wani
Department of Radiodiagnosis and Imaging, Sher-I-Kashmir Institute of Medical Sciences, Srinagar - 190 011, Jammu & Kashmir
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-3767.70636

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  [Figure 1], [Figure 2], [Figure 3]


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